By submitting this disposition we are authorizing SCHENKER to ogranize transport as quoted in offer no. , dated

Disposition number:


Company issuing this disposition: (full name and address):

Registration numberj:

Tax (PIB) number:

Contact person:

Telephone:

Fax:

E-mail:

Preferred transport:
groupage land sea railway air container

Relation:



Type of goods:

Quantity:

Type of packaging:

Weight (kg):

Dimensions (m³):

jNumber of cases:

Value of the goods (in currency):

Terms of delivery - parity (incoterms 2000):



Loading date:



Sender:
Full name:

Loading address:

Contact person:

Telephone:



Receiver:
Full name:

Address:

Addressing station:

Contact person:

Telephone:



Insurance (insurer, risks)



Merchandise is imported/exported through:
Border crossing:                  Clearing agent:



Special transport conditions (ADR, sanitary inspection, veterinary inspection, poisonous materials, etc):



Costs paid by (clearance services, transport, loading / unloading, warehousing:



Attached document:*



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Special notes and comments:



Disposition sent by:
Name:

Telephone:

Fax:

E-mail:



Place and date: