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Applicat data

Company name Ref. person
Address Email
ZIP Telephone
City Fax
 

Addresses

Pickup date      Destination data
Address
Notes
 

kind of goods

   
N. of Peices
W (cm)
L (cm)
H (cm)
M3
Total N.:
Total weight Kg:
Type:
   
            Total M3
   
   
Notes:
 

Load / Undload requirements

Forklift Crane Lift tail
 

Special requirements - Extra info

Required delivery date
Invoice to
Value of goods for insurance (Euro)
 
 
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P.I. 01924520123 Capitale Sociale i.v. Euro 45.900,00 C.C.I.A.: VA 217330 ALBO: VA/1900395/K