Request form - Road transport





Company: *
Name and surname: *
Phone: *
E-mail: *
Goods specification: *
Dangerous goods: *       UN number:
Place of origin (country, Zip code): *
Place of destination (country, Zip code): *
Number of pieces: *
Total gross weight (kg): *
Dimensions in cms
(length x width x height): *
Stackable cargo: *
Date of shipping:
Special request:
Additional information:
Delivery term / INCOTERMS: *
Our services will be paid by:
Shipment suplementary insurance:
Cargo value:
Currency:


*) star marked fields are compulsory