SHIPPER'S DATA AND ADDRESS::
CONSIGNEE'S DATA AND ADDRESS:
COMMODITY:
FOR DANGEROUS GOODS: UN NUMBER, CLASS, PACKING GROUP
WEIGHT AND DIMENSIONS OF EACH PIECE:
TERMS OF DELIVERY: /PLEASE, INSERT THE LOCATION'S NAME/
THE SHIPMENT IS READY FOR PICK UP ON:
DELIVERY DEADLINE AND CONTRACTED RATE FOR TRANSPORT:
CARGO INSURANCE: /PLEASE, ADVISE THE VALUE TO BE INSURED/
PREPARED BY: /NAMES, PH. NUMBER, E-MAIL STAMP AND SIGN/