Your Name

Email

Phone

Company

UN Number(s)

Proper Shipping Name(s)

Type of packaging (e.g., Fiberboard Box, Steel Drum, etc.)

Quantity per package (L – liquids, kg – solids/gases)

Total quantity for shipment (L – liquids, kg – solids/gases)

Mode(s) of Transport

Proposed Carrier

Routing

Please provide any additional information (attach pictures of docs, cargo etc).

File Attachment

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