Your surname
Your first name
Your company
City
Country
Tel.
E-mail
Fax
Mode
Air
Surface
Net volume
CUFT
CBM
Net weight
LBS
KGS
Gross/changeable weight
Packed
Loose
L/V's
Container(s)
x20'
x40'
Truck
Diplomatic?
Yes No
Unusual items
To delivered residence
Account
Approx. move date
January February March April May June July August September October November December Year
Required transit time
Comments/Notes/Special Requests