DOMESTIC 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 date:
Name:*
Street:*
Town:*
Postal code:*
Country:*
Contact person :
Fax:
Phone:
Loading date:*
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January
February
March
April
May
June
July
August
September
October
November
December
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2005
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2009
2010
Unloading date:*
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January
February
March
April
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July
August
September
October
November
December
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2005
2006
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2008
2009
2010
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:
Dimensions:*
Gross weight:*
EUR pallets
L:
Non-standard pallets
H:
Others:
W:
Volume:
Freight cost:*
Terms of payment:*
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cash
7 days money transfer
14 days money transfer
30 days money transfer
Net price in:*
EUR
GBP
PLN
The orderer instructions: