| Customer |
| Company |
|
| Full name of the Customer* |
|
| Phone number |
|
| E-mail * |
|
| Shipment |
| Place of loading of cargo (if required) |
|
| Port of loading |
|
| Port of discharge |
|
| Destination station |
|
| Customs Clearance (place) |
|
| Cargo weight |
|
| Cargo |
| Container type (20', 40', ht', ref') |
|
| Number of containers |
|
| Description of cargo |
|
| Dangerous loads |
|
| The weight of the heaviest place in the container |
|
| Notes |
|
| |
