CUSTOMER INFORMATION
"PLACING THE ORDER"

CLIENT INFO
Company Name
Address
Contact Name
Phone
Fax
Email

ORDER INFORMATION

     ORIGIN

Shipper name
City
Zip code
State
Country
Tel
Fax
Contact Name
Department
E-Mail

     DESTINATION

Consignee name
City
Zip code
State
Country
Tel
Fax
Contact Name
Department
Email


ORDER INFORMATION

Nature of goods
# of pieces
Gross Weight
Volume/Dimensions
L x W x H (cms)
Value of goods
Date of delivery
Selling Terms
Container quantity
20' x
40' x
LCL        CBM
Number of containers
Other types, please specify:


SERVICES

SERVICE REQUIRED
1. Door to Door
2. Port to Port
3. Port to Door
4. Door to Port
 
PACKING
Yes
No
 
FREIGHT
Collect
Prepaid
 
INSURANCE
All Risk
Total Loss
None
 
LEGALIZATION
Yes
No


 

 
 
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