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SHIPPING ORDER

(*) marked fields are mandartory.

Client/Shipper
Company (*):
Name (*):
Street:
ZIP / City (*):
Country:
Telephone (*):
Fax:
e-mail (*):

Consignee/Delivery Address
Company (*):
Name:
Street:
ZIP / City (*):
Country:
Telephone (*):
Fax:

Point of collection (if different from shipper)
Company:
Name:
Street:
ZIP/ City:
Country:
Collection on (*):
from / till (*):

Notify (if different from consignee)
Company:
Name:
Street:
ZIP/ City:
Country:
Telephone:
Fax:

Further details
Mode of shipping (*):
Destination airport/harbour:
Date of shipment (*):
Reference number:
Invoice No.:
Collection/Delivery:
Through:

Terms (*):
Value of goods (EUR):
COD (EUR):
Intrastat registration: Yes
Shipping insurance: Yes
Cover insurance for EUR:

Number of positions
Marking Number and kind Contents/Trade description KG gross Dimensions/Volume

Accompanying documents
AKM / AA / VAA
Copy of letter of credit
Pro forma invoice/Trade invoice
Packing list
Certificate of origin
EUR1
Others:

We confirm that the shipment does not contain any prohibited objects in accordance with the terms prescribed in (EG) No.2320/2002 numbers IV and V, insofar as they have not been registered in accordance with the valid ICAO/IATA Dangerous Goods Regulations.
Confirmation as prescribed (*):

Orders and instructions from the shipper or client:

Dangerous goods: Yes
ARD Dangerous Goods Classification
(UN Number, description of material, dangerous goods note, packing group, number, quantity):

Destination
QCS Branch office (*):
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