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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
 
* Mandatory Fields
Clearing and Forwarding
Transportation
Storage Facilities
Courier Services Ltd