Contact Information

Company Name & Contact Name:


Address:


Telephone no:


Fax no:


Email:


Mode of Transport:
Air Sea Road

Service Required:
Door - Arrival Port / Airport
Door - Door
Other (please specify below)


Any Special Requirements? (If yes specify below)
No
Yes

Collection

Date:


Time (FCL only):


Descriptions of Goods

FCL / LCL (groupage)?
FCL LCL
20'
40'
If Other (Please specify below)


Number of Pieces


Commodity / Description of Goods


Weight (KG)


Volume (CM)


Dimensions (CMs)




Freight Terms?
Prepaid Collect

Hazardous Goods?
Yes No
If "YES", please give the Hazard details. UN No.:


Class:


Packing Group:


Litres / Weight:

Collect Form

Name:


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Country:
AndorraUnited Arab EmiratesAfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaAngolaArgentinaAscensionAustriaAustraliaAzerbaijanBarbadosBangladeshBelgiumBurkina-fasoBulgariaBahrainBurundiBeninBermudaIs.BruneiBoliviaBrazilBahamasBotswanaBelarusBelizeCanadaCentral African RepublicCongoSwitzerlandCayman Is.Cook Is.ChileCameroonChinaColombiaCosta RicaCubaCyprusCzech RepublicGermanyDjiboutiDenmarkDominica Rep.AlgeriaEcuadorEstoniaEgyptSpainEthiopiaFinlandFijiFranceGabonUnited KiongdomGrenadaGeorgiaFrench GuianaGhanaGibraltarGambiaGuineaGreeceGuatemalaGuamGuyanaHongkongHondurasHaitiHungaryIndonesiaIrelandIsraelIndiaIraqIranIcelandItalyIvoryCoastJamaicaJordanJapanKenyaKyrgyzstanKampuchea (Cambodia )North KoreaKoreaKuwaitKazakstanLaosLebanonSt.LuciaLiechtensteinSri LankaLiberiaLesothoLithuaniaLuxembourgLatviaLibyaMoroccoMonacoMoldova, Republic ofMadagascarMariana IsMaliBurmaMongoliaMacaoMartiniqueMontserrat IsMaltaMauritiusMaldivesMalawiMexicoMalaysiaMozambiqueNamibiaNigerNigeriaNicaraguaNetherlandsNetheriands AntillesNorwayNepalNauruNewZealandOmanPanamaPeruFrench PolynesiaPapua New CuineaPhilippinesPakistanPolandPuertoRicoPortugalParaguayQatarReunionRomaniaRussiaSaudi ArabiaSolomon IsSeychellesSudanSamoa EasternSwedenSingaporeSloveniaSlovakiaSierra LeoneSan MarinoSenegalSomaliSurinameSao Tome and PrincipeEISalvadorSamoa WesternSyriaSwazilandChadTogoThailandTajikstanTurkmenistanTunisiaTongaTurkeyTrinidad and TobagoTaiwanTanzaniaUkraineUgandaUnited States of AmericaUruguayUzbekistanSaint VincentVenezuelaVietnamYemenYugoslaviaSouth AfricaZambiaZaireZimbabwe

Delivery To

Name:


Address:


Town:


Postcode:


Country:
AndorraUnited Arab EmiratesAfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaAngolaArgentinaAscensionAustriaAustraliaAzerbaijanBarbadosBangladeshBelgiumBurkina-fasoBulgariaBahrainBurundiBeninBermudaIs.BruneiBoliviaBrazilBahamasBotswanaBelarusBelizeCanadaCentral African RepublicCongoSwitzerlandCayman Is.Cook Is.ChileCameroonChinaColombiaCosta RicaCubaCyprusCzech RepublicGermanyDjiboutiDenmarkDominica Rep.AlgeriaEcuadorEstoniaEgyptSpainEthiopiaFinlandFijiFranceGabonUnited KiongdomGrenadaGeorgiaFrench GuianaGhanaGibraltarGambiaGuineaGreeceGuatemalaGuamGuyanaHongkongHondurasHaitiHungaryIndonesiaIrelandIsraelIndiaIraqIranIcelandItalyIvoryCoastJamaicaJordanJapanKenyaKyrgyzstanKampuchea (Cambodia )North KoreaKoreaKuwaitKazakstanLaosLebanonSt.LuciaLiechtensteinSri LankaLiberiaLesothoLithuaniaLuxembourgLatviaLibyaMoroccoMonacoMoldova, Republic ofMadagascarMariana IsMaliBurmaMongoliaMacaoMartiniqueMontserrat IsMaltaMauritiusMaldivesMalawiMexicoMalaysiaMozambiqueNamibiaNigerNigeriaNicaraguaNetherlandsNetheriands AntillesNorwayNepalNauruNewZealandOmanPanamaPeruFrench PolynesiaPapua New CuineaPhilippinesPakistanPolandPuertoRicoPortugalParaguayQatarReunionRomaniaRussiaSaudi ArabiaSolomon IsSeychellesSudanSamoa EasternSwedenSingaporeSloveniaSlovakiaSierra LeoneSan MarinoSenegalSomaliSurinameSao Tome and PrincipeEISalvadorSamoa WesternSyriaSwazilandChadTogoThailandTajikstanTurkmenistanTunisiaTongaTurkeyTrinidad and TobagoTaiwanTanzaniaUkraineUgandaUnited States of AmericaUruguayUzbekistanSaint VincentVenezuelaVietnamYemenYugoslaviaSouth AfricaZambiaZaireZimbabwe