Order Number Pick up / Delivery Pick up location * Zip code * Country * Delivery location * Zip code * Country * Merchandises Name Raw Weight * Pallets dimension Pallets number Stackable pallets Yes No Insurance Yes No Value Notes Dangerous product Yes No Class Pickup date desired Notes, requirements, schedule Contact information Company * Siret * Address Zip code City Country Contact Civility Ms Mr Last name * First name * Phone * Fax Email address * Read carefully By submiting this form, You will help us deliver the best price for your order. * mandatory fields
