REQUEST FORM
 
PERSONEL INFORMATIONS    
Name Surname :
Name of Company :
E-mail :
Phone :
Fax :

LOAD INFORMATION

   
Loading Port :
Unloading Port :
Loading Date :
Delivery Date :
Type of Cargo / Name of the Product :
Number of Pieces :
Type of Packaging :
Gross weight (kilogramme) :
Dimensions (cm)  
Width  :   Length   :    Height   :
Payment Conditions :
Type of Transport : Sea Transport Air Transport Road Transport
Pick Up Address of Load (please include the post code) :
Delivery Address of Load (please include the post code) :
Characteristics of the Packaging (wooden etc) :
Type of Product : General Load Perishable Breakable Live Animal Dangerous Goods Parts
Regular Delivery? (yes/no) :
Type of Loading :
Delivery on Pallets? (yes/no) :
   
   
 
 
Copyright © 2007 Cosmo Lojistik
Ata Medya