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Logistic Form

Payer Account Number and Insurance Details

Payer Account No.

Shipment Insurance

Yes

Insured Value in Local Currency

To Receiver

Name

Company Name

Date

Address

Post Code Zip

Phone, Cell Phone or Email

From Shipper

Shipper's Account Number

Contact Name

Company Name

Address

Post Code Zip

Phone, Cell Phone or Email

Shipment Details

Total Number of Packages

Total Weight Kg/gr

Company Name

Address

Post Code Zip

Dimensions in cm (Length)

Dimensions in cm (Width)

Dimensions in cm (Height)

Full Description of Content

Description

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Pricing

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COMPANY

LEGAL