CUSTOMER INFORMATION
"PLACING THE ORDER"

Company Name
Address
Country
Tel
Fax
Contact Name
Email


ORDER INFORMATION

Origin
Destination
Nature of goods
Value of goods
Date of delivery
Selling Terms
Container type
20' x
40' x
LCL        CBM
Number of Containers
Other types, please specify:


SERVICES

SERVICE REQUIRED
1. Door to Door (please read below)
2. Port to Port
3. Port to Door
4. Door to Port
 
PACKING
Yes
No
 
FREIGHT
Collect
Prepaid
 
INSURANCE
All Risk
Total Loss (Clause C)
None
 
LEGALIZATION
Yes
No


If you have selected the Services 1, 3 or 4, please fill the following information:

Delivery / Pick-up Address

City
Zip code
Country
Tel:
Fax
Contact Name



Date
Name




 

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