Order form wagon transport

Order sheet to be sent to: or faxed to:

Agreement no. / Booking date / Orderno.(leave blank)
Customer number / Departure date from terminalor
arrival datedestination terminal * / Payer / 1a Avsändaren Betalar (Franko Frakt)4 Mottagaren Betalar9 Avropsparten Betalar- Uppdragsgivare Betalar
Customer name / Payer
customer number
Sender customer number / Client customer name / Client reference/ customer order number
Sender customer name / Client
phone number / Sender reference
Receiver customer number / Client
email / Receiver reference
Receiver customer name

* Please state the date for departure or arrival of loaded wagon in the table below. State above if the date refers to departure or arrival.

If connecting transport by truck is to be ordered (not units) or if dangerous goods please supplement information on page 2 and 3.

Departure terminal / Destination terminal / Requested departure or arrival date / NHM-no / No ofwag. / Wagon type / flit / wagon no. / Net weight /wagon / Receiver customer number / country of origin / Country of dest. / Spec. trp.no. / Dang gods / Conntrp
1
2
3
4
5
6
7
8
9
10
Optional
services / Forsling till avsändningsstation (18)Forsling till mottagaren (19)Upprättande av fraktsedel via telefon (45.3)Utökad dispositionstid, lastning. 2-ax.vagn (50.6)Utökad dispositionstid, lastning. 4-ax.vagn (50.7)Utökad dispositionstid, lossning. 2-ax.vagn (50.8)Utökad dispositionstid, lossning. 4-ax.vagn (50.9) / Forsling till avsändningsstation (18)Forsling till mottagaren (19)Upprättande av fraktsedel via telefon (45.3)Utökad dispositionstid, lastning. 2-ax.vagn (50.6)Utökad dispositionstid, lastning. 4-ax.vagn (50.7)Utökad dispositionstid, lossning. 2-ax.vagn (50.8)Utökad dispositionstid, lossning. 4-ax.vagn (50.9) / Forsling till avsändningsstation (18)Forsling till mottagaren (19)Upprättande av fraktsedel via telefon (45.3)Utökad dispositionstid, lastning. 2-ax.vagn (50.6)Utökad dispositionstid, lastning. 4-ax.vagn (50.7)Utökad dispositionstid, lossning. 2-ax.vagn (50.8)Utökad dispositionstid, lossning. 4-ax.vagn (50.9)
Forsling till avsändningsstation (18)Forsling till mottagaren (19)Upprättande av fraktsedel via telefon (45.3)Utökad dispositionstid, lastning. 2-ax.vagn (50.6)Utökad dispositionstid, lastning. 4-ax.vagn (50.7)Utökad dispositionstid, lossning. 2-ax.vagn (50.8)Utökad dispositionstid, lossning. 4-ax.vagn (50.9) / Forsling till avsändningsstation (18)Forsling till mottagaren (19)Upprättande av fraktsedel via telefon (45.3)Utökad dispositionstid, lastning. 2-ax.vagn (50.6)Utökad dispositionstid, lastning. 4-ax.vagn (50.7)Utökad dispositionstid, lossning. 2-ax.vagn (50.8)Utökad dispositionstid, lossning. 4-ax.vagn (50.9) / Other:

Delivery instructions/ notifications, remarks:

When in need of connecting transport of goods by truck (pick up and / or distribution) fill out the table below.

Note!Connecting transport order / information is valid for all rows in page 1.

Connecting transport to departure station / Connecting transport to receiver
Name sender / Name receiver
Address / Address
ZIP code / ZIP code
City / City
Contactinfo / Contact info
Senders Reference / Receivers reference
If timed pick-up
(enter time interval) / If timed pick-up
(enter time interval)
To be filled out by Green Cargo / Inhämtas med bil - datum / Tåg avgång / Datum: / Tid: / Tåg ankomst / Datum: / Tid: / Distribueras med bil - datum

Note! In case of different kinds of dangerous goods loaded in the same wagon, enter the same wagon number at the next row (only one type per row).

Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other
Wagon number / Empty, not cleaned tank cont., last load / Hazard ID / UN-nr / Shipping name / If necessary, technical name / Label-model / Packing group / Net Weight DG (kg)
(x)
Number and type of packages / Waste / (x) / Hazardous / (x) / Other

X 31-06 (utgåva 2) Kundservice