Fill in the form and click on ‘send’.
Customer: (name, address, tel., fax, Tax Identification Number, contact person)
Exporter: (name, address, tel., fax, Tax Identification Number, contact person)
Importer: (name, address, tel., fax, Tax Identification Number, contact person)
Place of loading : (name, address, tel., fax, Tax Identification Number, contact person)
Place of delivery: (name, address, tel., fax, Tax Identification Number, contact person)
Exporter’s customs clearance
Importer’s customs clearance
Date/time of loading:
Date/time of unloading
Commodity:
Name:

Quantity: Signature: Weight Size Cubature
gross netto lenght width height
Order’s ref.number:
Delivery Conditions:
Cargo Insurance:
Additional remarks
Agreed freight
Together:
including domestic distance:
Date of payment







MPsped
ul. Szymanowskiego 14
64-400 MIĘDZYCHÓD

Telefon: +48 61 642 73 60
Fax +48 61 642 73 61
E-mail: mp-sped@o2.pl

designed by: DST DESIGN

MPsped 2009 ©