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Please complete the follow blanks and submit （Take* must to write）
 
Contact information
*Name:  Email: 
*Company:  *Telephone: 
*Address:  Fax: 
Shipping infomation
Receipt Address:  Delivery Address: 
*Departure Port:  *Unloading Port: 
Declaration information
Declaration:  Yes Arrange for
trailer: 		 Yes Certificate of
Origin: 		 Yes
No No No
Date of delivery:  ETD: 
Declaration information
Description:  Cartons: 
Weight:  Size: 
Container:  20' 40' 40' HQ 45' HQ TOP-opening Flat Rack
*Terms of Service:    Pick-up service   Delivery service
Payment:  FREIGHT PREPAID       FREIGHT COLLECT
   

Other
requirements: