Customer Account number (7-digit)*
Date Requested
SENDER INFORMATION
Company Name*
Company Address*
City/Country*
Postal Code*
Contact Person Name*
Contact Number*
Contact Person Email Address*
RECEIVER INFORMATION
Company Name*
Company Address*
City/Country*
Postal Code*
Contact Person Name*
Contact Number*
Contact Person Email Address*
DESCRIPTION OF GOODS
Description of Goods*
Value of Goods (USD)*
Total Weight (kg)*
Number of Pieces*
Dimensions
Length x Width x Height (cm)*
Remark*