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1

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Company Residential address

The shipment is already ready

The next working day

This week

Within two weeks

Not yet known

Accessible with trailer *

Yes No

Forklift available *

Yes No

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Company Residential address

Delivery deadline

Accessible with trailer *

Yes No

Forklift available *

Yes No

Please note, we only provide air freight and express shipments, not sea freight.

2

Type of freight

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3

Additional information

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Need extra insurance?

Yes No

In case of damage or loss, a maximum of €xxx is reimbursed, regardless of the actual value. And for only €42.50, you can insure this shipment all-risk up to €25000, so don’t take unnecessary risks.

Dangerous goods?

Yes No

Does the shipment contain goods such as lithium batteries, aerosol cans, accumulators, perfume, alcohol or other ADR/LQ products?

Additional notes/instructions

4

Contact details

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Phone number*

Het formulier kan pas worden verzonden als alle stappen correct ingevuld zijn.

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Additional information

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Daan