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Customer

Company:   
Address:  
Postal/Zip Code:  
City:  
Country:  
  Contact Person
(Lastname, Forenames):
 
Phone:  
Fax:  
E-Mail:  

The fields marked with a * have to be filled only in the case of an order.
 
Shipper:    Country Postal Code City
   
* Company:  
* Address:  
* Contact Person:  
* Phone:  
Pick up:   Date Time from Time to
   
 
Consignee:   Country Postal Code City
   
* Company:  
* Address:  
* Contact Person:  
* Phone:  
Delivery:   Date Time from Time to
   
       
Package Dimensions:    No. of packages: Measurement: Total Weight:
  kg
  kg
  kg
       
Remarks: