COMPANY NAME________________________________________________
ADDRESS______________________________________________________
CONTACT PERSON __________________DESIGNATION________________
TEL. NO.__________________FAX______________EMAIL_______________

Shipper Information:
Name _________________________________________________________
Address________________________________________________________
Phone Number _____________Fax. No____________email______________

Consignee/receiving party at destination:
Name__________________________________________________________
Address________________________________________________________
Phone Number _____________Fax no.____________email______________
Ctc person _____________________________________________________

Notify party:
Name__________________________________________________________
Address________________________________________________________
Phone Number _____________Fax. No____________email______________
Ctc person ______________________________________________________
Commodity: _________________________value________________________
Pick up address__________________________________________________
Contact person_____________________________
Tel Number________________________________
Pick up date/time___________________________

Origin port:______________________destination port:_____________________
Carrier _________________________Volume____________________________
Date cargo ready ________________________

For USA export equipment: mlb_____________all water __________________

Freight collect prepaid
Origin charges shipper consignee
Destination charges shipper consignee
Other instruction ___________________________________________________