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Non-registered clients

Select order form depending on your requested transport:

Czech Republic – Switzerland Switzerland – Czech Republic Other transports

Transport direction:

Ordering party (Payer of the transport)

Name: - required

Street: - required

City/Town: - required

Postcode: - required

Company No./CRN: - required

Tax ID/VAT: - required

Handled by: - required

Phone No: - required

E-mail: - required

Fax: - required

Commercial Register entry:

CARRIER

Possible loading date (DD.MM.YYYY): - required

from: - required

to: - required

Company name: - required

Contact person:

Phone No: - required

E-mail:

Street: - required

City/Town: - required

Postcode: - required

State: - required

Export customs clearance:

Unloading

Possible unloading date (DD.MM.YYYY): - required

from: - required

to: - required

Company name: - required

Contact person:

Phone No: - required

E-mail:

Street: - required

City/Town - required

Postcode: - required

State: - required

Import customs clearance:

Destination customs office:

Goods

Precise designation:

Total gross weight in kg: - required

Exact size in cm: - required

Number and type of units to be loaded:

Delivery terms:

Dangerous goods (ADR)?:

Number and UN code:

Can the goods be stacked? (placed on top of each other)

Value of the goods (for goods insurance purposes)

Notes

Carriage fee

Payment: - required

Cash payment on loading
Cash payment on unloading
Payment by credit transfer within 14 days

Your personal information will only be used for the purpose of responding. For more information, see principles of processing personal data

Please confirm - required

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Non-registered clients

J.M.I., s.r.o.

Address

Contact

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29	30	31	1	2	3	4
5	6	7	8	9	10	11
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19	20	21	22	23	24	25
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