SEA FREIGHT FORWARDING ORDER NR ......

Customer (ordering the transport):
(name, exact address, VAT nr, tel., fax, e-mail, contact person) / To:
ROHLIG SUUS Logistics SA
(former Rohlig Poland Ltd.)
………… Branch
__ - ___ ………...... st………………......
tel.: +48 (__) ______fax.: +48 (__) ______
www.suus.com
WE HEREBY REQUEST REALISATION OF THIS ORDER ACCCORDING TO SPECIFICATION AS BELOW:
Price: / Payment days: / from VAT invoice date / Incoterms delivery conditions (or who pays for transportation?)

I. SHIPMENT/DELIVERY

SHIPMENT (SHIPPER) / DELIVERY (CONSIGNEE)
(name, exact address, tel., fax, e-mail, contact person) / (name, exact address, tel., fax, e-mail, contact person)
Approximate date of shipment: / Approximate date of delivery:

II. Goods

Name of the goods

/ Invoice value and currency
Number and kind of packaging (EURO palettes, cartoons, other) / Are the goods are stackable? /
YES
NO

Gross weight

/

Volume

Kind of carriage

/ Container / 20’ / 40’ / 40’HC / Other / Groupage
LCL

Are the goods safe In transport?

/ YES / NO / IMDG / Class / Page no. / UN no.

Insurance requested

/
YES
/ NO / Customs clearance / YES / NO

III. PLACE OF CLERANCE (CUSTOM AGENCY)

Export Clearance / Import Clearance

IV. OTHER NOTES / DOCUMENTS INCLUDED

V. TERMS OF TRADE

Statements / Customer’s Obligations:
The above prices are net of VAT. The prices are subject to VAT as per the regulations in place on the date of issuing the invoice.
We reserve the right to modify the price in the event of changes to the parameters of shipment and in extraordinary circumstances
Goods are not subject to export restrictions set forth by Polish and EU law.
For the goods covered by the cargo insurance policy, General Insurance Terms, available at www.suus.com are applicable.
Liability – This agreement is concluded in accordance to conditions defined by the General Polish Forwarding Rules, edition 2002.
(Place and date, clear customer signature) / Hereby I confirm acceptance of the forwarding order to realization according to above specification on the terms as mentioned..
(Place and date, clear forwardersignature)

Dok.: 450-1, wyd.04