Untitled Page

Rail Freight Request Form

Company Name	:
Contact Name	:
Company Adress	:
Phone	:
Fax	:
E-mail	:

Shipment Date	:
Shipment Type (Exp/Imp)	:
Payment Method	:
Port of Shipment	:
Port of Discharge	:
Cargo (Lcl, Fcl)	:
Type of Goods-Customs Tariff Numbers	:
Type of Packaging	:
Number of Parcels	:
Parcel Dimensions	:
Tonage	:
Type of Container	:
Number of Containers	:
Value of Goods	:
Insurance	:

If contains dangerous goods
Imco no	:
Un number	:
Comments	: