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Customer Information
Name and Surname (*) Address (*) Telephone (*) Fax (*)
Company (*) Post code (*) Town/city (*) Email (*)
Type of Goods (*) Type of Service (*) Place of loading Post code (*) Town/city (*) Country (*) Place of unloading Post code (*) Town/city (*) Country (*) Additional relevant information
Type of Wrapping/Packaging
Other Pallets
Quantity [number] (*) Total gross weight [kg] (*) Size [m] (*) Total volume [m³] (*)
Stackable load (*) Yes No
Dangerous goods (ADR) Yes No
ONU number
Date of loading (*) Date of unloading (*)
Estimated Value of Goods

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