| Contact name*: |
|
| Company name*: |
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| E-mail address*: |
|
| |
| Phone number *: |
+-- |
| Mobil: |
+-- |
| Fax: |
+-- |
| |
| Prospective regularity of shippings: |
regular
occasional
|
| |
| Consignee's data |
|
| Country*: |
|
| ZIP code *: |
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| Town: |
|
| |
| Weight intervals*: |
|
| |
| Nature of goods: |
normal cargo
dangerous
special handling
|
| |
| Do you want to insure the shipment?: |
yes
no
|
| |
| The requested service from Forwarding Agent: |
Door to Door
Door to Airport
Airport to Airport
Aiport to Door
|
|
|
| |
| The requested service from Forwarding Agent: |
standard
express
|
| |
| Preferred airline : |
|
| |
| Do you have currently a forwarding agent partner? *: |
yes
no
|
| |
| Remarks: |
|
| |
| The offer should arrive till: |
|
|
