2.

 An exact name of your
 company:

3.

 Contact person:

4.

 Your account number:

5.

 Telephones:

       fax:

6.

 E-mail:

7.

 Destination:

 from: 

8.

 Date of loading:

9.

 Type of goods:

10.

 Quantity:

11.

 Package:

12.

 Value of goods:

     currency:

13.

 Is the goods subjected to
 sanitary, veterinary or
 other inspection:

Yes No

14.

 Do you want special
 security:

Yes No

 Notes: