Shipper
Company*
Name, First name*
Address*
Telephone*		City*
E-Mail*

Consignee
Name
Address
Zip Code		City
Telephone		Fax

Notify
Name
Address
Zip Code		City
Telephone		Fax
Contact	Mr Mrs

Goods
Description (Number and kind of package)
H.S. Code
Gross Weight (in kg)		Net Weight (in kg)
Dimensions (in cm)
Containers numbers
Value/Currency	CHF EURO USD HKD JPY
Special remarks/ Special instructions
You will receive by	Rail Express rail Truck Air parcel post Express post Our own trucker Organized by Somatra
To be forwarded by	Truck Airfreight Ocean freight
Country of origin
Country of destination
Port or airport of arrival
Delivery conditions:	EXW FCA DAF FAS FOB CFR CIF CPT DDU DDP
Transport insurance	Covered by consignee Covered by shipper Covered by forwarder No insurance requested
Insurance amount/Currency	CHF EURO USD HKD JPY

Order send by	Mr Mrs
Telephone
*mandatory fields