| Contact name*: |
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| Company name*: |
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| E-mail address*: |
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| |
| Phone number *: |
+-- |
| Mobil: |
+-- |
| Fax: |
+-- |
| |
| Prospective regularity of shippings: |
regular
occasional
|
| Shipper's data |
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| Company name *: |
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| Country*: |
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| ZIP code *: |
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| Town: |
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| Street: |
|
| |
| Description of goods *: |
|
| |
| Is the shipment rotatable? *: |
yes
no
|
| |
| The gross weight of shipment *: |
kg |
| |
| Is the shipment palletized? *: |
yes
no
|
| |
| Are the pallettes stackable? *: |
yes
no
|
| |
| |
| Type of packaging *: |
Paper
Wood box
Metal barrel
Plastic barrel
Canvas bag
Other
Description:
|
| *: |
|
|
| |
| The weight of shipment: |
kg |
| Chargeable weight: |
kg |
| |
| 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
|
| Delivery address: |
|
| |
| The requested service from Forwarding Agent: |
standard
express
|
| |
| Preferred airline : |
|
| |
| Remarks: |
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| The offer should arrive till: |
|
|
|
