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ORDER OF TRANSPORT SERVICES


I submit this binding order for the following carriage:

  Your information:
Company: *)
Address:
Phone: *)
E-mail: *)
Company ID no.:
VAT no.:
  Information on the goods:
Description of goods:
Quantity / pallet: pcs
Utilization of a semi-trailer: kg
Packing – other:
Weight of the consignment: kg
Dimensions of the consignment:
Required temperature
during transport:
  Export:
Place of loading:
Date of loading:
Place of delivery:
Date of delivery:
Are these dangerous goods
according to the classification of ADR, IMO, RID?
If yes, please give classification:
  Import:
Place of loading:
Date of loading:
Place of delivery:
Date of delivery:
Are these dangerous goods
according to the classification of ADR, IMO, RID?
If yes, please give classification:
  More information:
Clarification of time of loading / unloading:
Notes:
Antispam:*) Please enter the number 94 (anti-spam protection)

*) Items marked with an asterisk are required.

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ČNB exchange rates

Valid from 03.02.2012

USD USD 19,045
EUR EUR 25,065