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Shipping order-form




according to section 601 (1) Commercial Code

Place Date
    Zn.
Orderer Reg. No.
Street City/Town
Post code Tel.-No.
E-mail Fax-No.
Bank connect. Acc.-No.
Represented by Position

FORWARDER (represented by the undersigned authorized person):
CZECH INTERNATIONAL, a.s.
With registered office U pošty 2, 735 64 Havířov, Suchá
Reg. No. (IČ): 26870142, DIČ: CZ26870142, č. Raaltrans: Z06
Registered in the Commercial Register with Regional Court in Ostrava, section B, No. 1783
tel.: +420 596 477 111, fax: +420 596 410 292, forwarding@czechint.cz

In your name and on our account, provide please for transportation of the shipment according to following specification:
Description of goods
No. of pieces
Weight
Dimensions
Packaging
  Price of the shipment
  Type of vehicle

  Date of loading
  Consignor
  Place of loading
  Contact person
  Tel.-No.
  Customs clearance – loading

  Consignee
  Date of unloading
  Place of unloading
  Contact person
  Tel.-No.Telefon
  Customs clearance - unloading

  Contractual consideration for transport
Customs charges
  Remarks

Other stipulations:
  1. Conditions for the transport are set by relevant provisions in the Commercial Code, CMR – Convention as well as by General forwarding conditions of 01.10.2002, which are published in the part „General forwarding conditions“ on these pages.
  2. The Orderer undertakes to pay to the Forwarder cost purposefully expended in connection with transportation of the shipment pursuant to the statement of account and consignment note confirmed by the consignee, within 15 days after issuing the invoice, if not agreed otherwise in writing.
Thereby we confirm provision of transport according to a. m. instructions. Reg. plate of the vehicle
 
Stamp and signature of Orderer’s
authorized person according to
section 20 Civil Code:
For CZECH INTERNATIONAL, a.s.
Stamp and signature of
Forwarder’s authorized person:





   

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