With * marked fields are mandatory and have to be filled out!

Informations on the company
Company*	Street/No*	Postal code*
City*	Country*	Email*
Phone*	Fax*	Contact person*

Informations on the goods to be conveyed
	quantity	Packaging	description	Length (in mm)	Width (in mm)	Height (in mm)	Weight (in kg)
1. Position*
2. Position
3. Position

Loading- and unloading place
	LKZ	Postal Code	City	Date	Time
from*
To*

Other
Particularities
Notes

All sent informations are unprotected and can be seen by third parties while transmission.
For our forwarding agency services the actual General German Conditions for shippers (ADSp) are valid.