Form B – detailed transport rate pricing

Enter data regarding pickup and delivery place

Loading place Delivery place
Country code Postcode City name Country code Postcode City name

Pickup and delivery dates

Pickup and delivery solely on: Pickup and delivery in terms
Pickup date Delivery date Pickup between Delivery between
From: Till: From: Till:

Enter data regarding your cargo (enter data, in additional information place "X")

Basic data Additional information
Package type Length(cm) Width(cm) Height(cm) Quantity Weight(kg)
 Pallet  Hazardous goods Glass Liquid Bags Granular
 Pack  Hazardous goods Glass Liquid Bags Granular
 Drum  Hazardous goods Glass Liquid Bags Granular
 Loose  Hazardous goods Glass Liquid Bags Granular
 Full truck load  Hazardous goods Glass Liquid Bags Granular
 Non-standard, sticking  Hazardous goods Glass Liquid Bags Granular
 Furniture  Hazardous goods Glass Liquid Bags Granular
 Other  Hazardous goods Glass Liquid Bags Granular

Enquiry type (place "X" or make description):
 One time Regular Cyclic Other - describe

Additional requirements:

In case of questions – contact us on +48 534 440 000

Provide contact information, so we can send you our rate proposal:

Name
E-mail address (required)
Telephone number
FAX