Green Works International BV

Lagedijkerweg 20
1742 NB Schagen
The Netherlands
Tel.: +31 (0) 224 590 173
Fax: +31 (0) 224 590 925
E-mail: sales@green-works.nl
Internet: www.green-works.nl

Dear Customer,

For the export of your order, we prepare standard the following documents:
Phytosanitary Certificate
Commercial Invoice
Packing list
For preparing the documents in good order, the below information is needed from your site. Please fill
in this form completely and send back.

1. Name and Address of consignee

Name: EL MILAGRO DE LAS FLORES SAS
Address: Km 2 vía antiguo matadero Sopó
Contact Person: Mauricio Danies
Phone number: 3144043533
E-mail address: mdanies@elmilagro.co - sales@elmilagro.co

2. Point of entry Airport / Harbor: Bogota - El Dorado International Airport

3. Import Permit (if required). Please send us a copy of the permit.

4. Import broker information

Name: ……………………………..
Address: ………………………….
Contact Person: ………………
Phone number: ……………….
E-mail address:…………………

5. Way of shipment: Air / Container / Truck / Other ……

6. Are there other document required? For instance

Certificate of Origine yes
Eur-1 certificate yes
Export declaration yes
Other ………………………………

7. Are there other special requests of requirements?

…………………………………………

IBAN nr. NL 81 RABO 0139 1954 40 BIC/SWIFT RABONL2U || K.v.K. Alkmaar nr. 37094618 0000 || BTW / VAT nr.: NL 8093.09.439.B01
EU Quality Naktuinbouw Quality Control Phytosanitairy registration number: NL-206040105