City:
Date:
From (tel fax. Contact person, e-mail):
Recipient (tel fax. Contact person, e-mail):
I give an order for export shipment of:
Final place of delivery:
The type and name of the Goods:
The overall gross weight / net kg:
Terms of delivery according to INCOTERMS2000:
( EXW, FCA, CPT, CIP, DDU, FOB or DDP)
Number of items:
Packaging:
Package size / CBM :
Customs clearance:
final, transit / transfer customs /, time
Additional information about the consignment
Dated:
Insurance:
Other costs:
Payment:
Dates: