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