BOOKING REQUEST FORM

Fields marked (*) are required

GENERAL
* Person Requesting Export: Person Requesting Export Enter the name of the person requesting the export shipping.
Date & Time of Pick Up or Delivery: date and time Enter the date & time you want the container delivered or the date you like to deliver your cargo to the terminal.
* E-mail Address: your e-mail address Please enter your e-mail address.

SHIPPER INFORMATION
Name: SHIPPER Name Enter the name of the sender (shipper of record) or name of pick up location.
Address: SHIPPER address information Complete all address information including ZIP (postal) code and country.
City, State & Zip/Postal Code: SHIPPER City, State & Zip/Postal Code information Complete address information including ZIP (postal) code and country.
Phone: SHIPPER Phone Number Enter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.
Fax: SHIPPER Fax Number Enter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.

CONSIGNEE INFORMATION
Name: CONSIGNEE Name Enter the name of the recipient or contact person (consignee) at destination.
Address: CONSIGNEE address information Complete all address information including ZIP (postal) code and country.
City, State & Postal Code: CONSIGNEE City, State & Postal Code Complete all address information including ZIP (postal) code and country.
Phone: CONSIGNEE Phone number Enter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.
Fax: CONSIGNEE Fax number Enter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.

CARGO INFORMATION
Type of Cargo: type of cargo Enter the type of cargo/commodity. For example, personal effects, marine parts, etc.
Measurements, Container Size: Measurements, Container Size Enter the cargo dimensions.
Cargo Weight: Cargo Weight Enter the weight of the cargo.
Special Instructions: Special Instructions You may enter Special Instructions. For example: condition of cargo, hazardous information, etc.

LOADING / DESTINATION INFORMATION
Port of Loading / Loading Warehouse: Port of Loading / Loading Warehouse Enter the terminal where your cargo will be shipped from.
Port of Destination / Destination Warehouse: Port of Destination / Destination Warehouse Enter the destination where your cargo will be shipped to.

MARINE INSURANCE
Do You Require Marine Insurance:   cargo value in US$ Do You Require Marine Insurance: yes or no 1.If not quoted please call us for insurance rates.
> 2.If you choose NO, there will be no coverage!
3.IMPORTANT: Use cargo value at destination to find the correct value in US$.

CHARGES
Freight Charges Payable: Freight Charges Payable prepaid or collect 1.Prepaid: Shipper pays shipping charges,consignee pays destination fees.
2.Collect: Consignee pays shipping,destination,collection fees.

* Enter Code From Image Here :