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ORDER FORM
YOUR INFORMATION
SHIP TO
*
Contact Name
VAT #
*
Company Name
*
Company Address
*
City
*
Country
*
Telephone No.
*
Email Address
*
Contact Name
VAT #
Company Name
*
Company Address
*
City
*
Country
*
Telephone No.
Email Address
SERVICES
Document
Domestic
Worldwide Parcel Express
If other than above, please specify:
PAYMENT OPTIONS
if left blank, sender pays transport charges
Shippers Account
Recipient
Transport Collect
Third Party
TYPE OF EXPORT
DESTINATION DUTIES / TAXES
Permanent
Repair / Return
Temporary
if left blank, receiver pays duties / taxes
Receiver
Sender
Other
HARMONIZED COMMODITY CODE
if applicable:
CURRENCY
INSURED VALUE
Tanzanian Shillings
US Dollars
Sterling Pounds
*
Mandatory Fields