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1. Name * 2. Last Name *
3. Company Name
4. Address
5. Email *
6. Telephone * 7. Fax
8. ZIP / Postal Code for pick up or name of port *
9. ZIP / Postal Code for delivery or name of port *
10. Weight of shipment *
11. Dimensions * : length , width , height
12. Value of cargo USD
13. Do You need insurance Yes or No
14. Date of shipment *
15. Service * \ 16. Additional services
17. Residential pick up * Yes or No 18. Residential delivery * Yes or No
19. Shipping mode * Air Ocean truck Intermodal
20. Dangerous goods * Yes or No
21. Commodity description *
22. Commodity class
23. Is a lift gate truck required residental pick up delivery
24. Comments
2005 - 2006,
Crystal Shipping International Ltd.
All rights reserved.
Created by Gross Design.