Preliminary request form - Cargo transportation

PRELIMINARY REQUEST FORM FOR TRANSPORTATION-DISPATCH SERVICES
Note: For cargo uploading, at a dispatch place, a time of 1 day (24 hours) is given. For additional delay of transportation vehicles a fine of 150 Euros for 1 vehicle is imposed.

1. SENDER INFORMATION

Sender
Legal address
Contacts in sender ' s country
Warehouse working hours in the country of the sender
Phone
Fax / e-mail

2. RECEIVER INFORMATION

Receiver
Legal address
Phone
Fax / e-mail

3. CARGO INFORMATION (on each type of cargo sent)

#	Name	Gross , kg	Volume , m 3	Type of packaging, room taken	Cargo pick up address (country, city, address)	Date of cargo uploading*	Note

4. CARRIER'S ROUTE

Destination 1		Destination 2 (if there is any)
Country		Country
City		City
Receiver Railway station		Receiver Railway station

DESIRED ROUTE OF CUSTOMER (If there is one):

5. TRANSPORTATION PERIOD:

6. PROVISION OF CUSTOMS PROCEDURE SERVICES (describe services desired to receive):

7. PROVISION OF CARGO INSURANCE SERVICES (filled in if such needed)
Amount of insurance Filled in by

You can also fill in the blank off-line Download blank Please send the filled in preliminary request form to the following address «DOS Ltd» e-mail dosltd@mail.kg or by fax (996 312) 611 -609.

Cargo transportation - Preliminary request form