TRANSPORT REQUEST

APPLICANTS'S DATA
Company name *
Contact name
E-mail
Telephone
Fax
Address Road
Town
Provincie
TRANSPORT SERVICE CHECK LIST
Product type
Packing type
Pallet LWH measurements
Stackable goods Yes No
EPAL pallet management Yes No
Unloading booking Yes No
Marking management Yes No
Zones served %   (north)
%   (centre)
%   (south)
%   (islands)
Average goods sent per delivery Kg
Pallets
Weight units currently used
Average value of goods transported
Goods intended for Industry
MDO
Commerce
Other
Other notes/requests/clarifications

Fields with * are mandatory. Enter at least one telephone/fax/e-mail address