Blankett För Beställning Av Intermodal Transport Eng

Order form units / intermodal transport

Order sheet to be sent to: Name customer Agreement number Booking date Name client Customer number Client reference E-mail Depart- Arrival date Closing date Phone Payer Extradition at the latest

Connecting transport from sender to departure Connecting transport from destination terminal Rail transport terminal to receiver Pick-up date From terminal Date of distribution

Name sender To terminal Name sender Spec. trp.no. (Trailer Address Address without codification) ZIP code To depot ZIP code City From depot City Contact info Depot reference Contact info Senders Reference Delivery reference Senders Reference

If timed pick-up If timed pick-up (enter time interval) (enter time interval) If connecting transport by truck is to be ordered (not units) or if dangerous goods please supplement information on page 2 and 3. E Semi trailer L Gross Net Country Country Codif. m B/L Reference Sealing alt. o weight weight Shipping Duty- Dang of of Unit number alt. P NHM bookning number number Comtibility a incl. incl. code paid origin dest. type t no. number gods letters d. tara tara (VAT) (VAT) y

The transport is included in the tax base for The transport is included in the tax base for import (*document which Apendix export Apendix transit attached - import (appendix attached): (x) proving this has been attached in previous transport): (x) attached: (x) Goods duty-paid: (x) *Document regarding import in this transport has to be shown on recuest from Green Cargo

Delivery instructions, notifications remarks other:

X 31-04 (utgåva2) KundserviceS Order form units / intermodal transport

Note! In case of different kinds of dangerous goods loaded in the same unit, enter the same unit ID no at the next row (only one type per row).

Unit number Empty, not cleaned Hazard UN-nr Shipping name If necessary, technical Label- Packing Net Weight tank cont., last load ID name model group DG (kg)

Number and type Waste (x) Hazardous (x) Other of packages Unit number Empty, not cleaned Hazard UN-nr Shipping name If necessary, technical Label- Packing Net Weight tank cont., last load ID name model group DG (kg)

Number and type Waste (x) Hazardous (x) Other of packages

X 31-04 (utgåva2) Kundservice Order form units / intermodal transport

Unit number Empty, not cleaned Hazard UN-nr Shipping name If necessary, technical Label- Packing Net Weight tank cont., last load ID name model group DG (kg)

Number and type Waste (x) Hazardous (x) Other of packages Unit number Empty, not cleaned Hazard UN-nr Shipping name If necessary, technical Label- Packing Net Weight tank cont., last load ID name model group DG (kg)

Number and type Waste (x) Hazardous (x) Other of packages

X 31-04 (utgåva2) Kundservice