Omega Transport

Form Offers Request

Company data

Name of the Company

Particular Title

Address

Postal Code

VAT number

TAX Auth:

Region

Country

Person in charge

City

Position of Person in charge

Email

Telephone

Fax

Transport data

Pick up from

Deliver to

Country

Country

City

City

Postal Code

Postal Code

Road :

Air :

Sea :

Goods data

1

2

3

4

Quantity (units)

*Packing Type

Type (description)

Length (for 1 unit in cm)

Width (for 1 unit in cm)

Height (for 1 unit in cm)

**Weight (for 1 unit in kg)

**Weight (total in kg)

**Wolume (for 1 unit in m3)

**Wolume (total in m3)

Hazardous (ADR)

Stackable

Desired Arrival Date


	Comments


	Type of packing can be: PALLET, BOX, ROLL (cylinder), etc. ** In the case you do not know the WEIGHT or the VOLUME of each unit, please note TOTAL Weight or Volume.