Your company name:

Please Mail Me General Information and Your Business Card to
Your name:
Adress:
Postal Code:
Country:

I can be reached under
E-mail:
Fax:
Phone:

Please quote me on the following shipment
Seafreight
Airfreight
By truck or other means of Trsp.

Kind of merchandise
Dangerous cargo:
Yes    No

Quantity
Cities, countries & Postal Code or Zip of destination:
Airfreight weight in kilograms:  Kg.

Insurance inquired

Packing required
Yes    No
Yes    No

Frequency of shipments
 times 

Other suggestions or explanations

Preferred language of communication


    
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