PACKAGED PARCEL TRANSPORT ORDER FORM
THE COMPANY
The (*) signed fields are required
The field filled by AB Spedtrans::
No of order:
Data of the orderer:
Name: *
Street: *
Town: *
Postal code: *
Taxpayer Identification Number: *
Fax:
Phone:
E-Mail:
Dangerous product (ADR):*
Yes
No
Class ADR:*
Packaging group:*
Gross weight:*
Loading place :
Name:*
Street:*
Town:*
Postal code:*
Country:*
Contact person :
Fax:
Phone:
Unloading place :
Nazwa:*
Ulica:*
Miejscowość:*
Kod pocztowy:*
Kraj:*
Contact person:
Fax:
Phone:
Loading date:*
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Unloading date:*
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The parcel data according to the orderer::
Full-truck load 13,60m - 24 tons (if this field is signed, the following table do not have to be filled)
Type of the package:*
Quantity:
Gross weight:*
EUR pallets
Industrial pallets
Non-standard pallets
Others:
Price of the packaged parcel and terms of payment according to the contract.
The orderer instructions: