Application for delivery
Non
Application date: __________ Service type Documents documents
Road Express
Air Express
Service type In origin In destination
Additional services
Brokerage services
Insurance
Company____________________________________________________________________________________
Registration number (account): _____________ ____
Contract number: ___________ ______
1. Sender (in English):
Company name:
Address:
City/Town:
Post code:
Country:
Contact name:
Contact phone number:
E-mail:
2. Goods description:
3. Items:
Dimensions:
5.** Actual weight (kg):
6.** Volume Express
(L х W х H in meters х CMB):
7. Dangerous goods( mention danger level if yes) Yes No
8. Invoice value:
9. Tariff code:
10. Date of pick up:
11. Payer (in English):
Company name:
Address:
City/Town:
Postcode:
Country:
Contact name:
E-mail:
Contact phone number:
12. Delivery address ( in English):
Company name:
Address:
City/Town:
Postcode:
Country:
Contact name:
Contact number:
** according to point 7.4 of 7 covenant “Tariffs and duties” of Warsaw convention of 1929. «About the unification of certain rules,
concerning the air conveyance» «Tariffs and duties for shipment transportation must be committed in the air depot of sender,
reasoning from bigger weight or volume».
Pay attention on the fact that there are restrictions for weight and dimensions for each country.
Delivery of the shipment is committed only after 100% payment for transportation by the receiver of the shipment.
Application for delivery
We guarantee paying for transportation.
Director ____________________.
General accountant ____________________.
Stamp