Please fill out this form completely using the 'Tab' button to enter
information. Click 'Submit' or hit 'Enter' when complete. You will be contacted
to arrange for packaging of your shipment.
Please provide the following contact information:
What substances/chemicals are you wanting to have shipped?
What is the quantity (kg or L) ?
Please indicate whether this is a domestic or International shipment.
If International, to what Country ?
When would you like this shipped out?
What is the best time to contact you?
Please note that some shipments require special packaging, and only a certified
Dangerous Goods Shipper may package or submit a Dangerous Good to a carrier for
Type Aggie in the box below (validate you aren't