Order form units / intermodal transport

Order sheet to be sent to:

Name customer / Agreement number / Booking date
Name client / Customer number / Client reference
E-mail / Depart- Arrival date / Closing date
Phone / Payer / 1a Avsändaren Betalar (Franko Frakt)4 Mottagaren Betalar9 Avropsparten Betalar- Uppdragsgivare Betalar / Extradition at the latest
Connecting transport from sender to departure terminal / Rail transport / Connecting transport from destination terminal to receiver
Pick-up date / From terminal / Date of distribution
Name sender / To terminal / Name sender
Address / Spec. trp.no. (Trailer without codification) / Address
ZIP code / To depot / ZIP code
City / From depot / City
Contact info / Depot reference / Contact info
Senders Reference / Delivery reference / Senders Reference
If timed pick-up
(enter time interval) / If timed pick-up
(enter time interval)

If connecting transport by truck is to be ordered (not units) or if dangerous goods please supplement information on page 3 and 4.

Unit number / Reference number / Sealing number / Codif. alt. type / Semi trailer alt. Comtibility letters / Em
P t
y / L o a d. / NHM no. / Gross weight incl. tara / Net weight incl. tara / B/L bookning number / Shipping code / Duty-paid / Dang gods / Country of origin (VAT) / Country of
dest. (VAT)
The transport is included in the tax base for import (appendix attached): (x) / The transport is included in the tax base for import (*document which proving this has been attached in previous transport): (x) / Apendix export attached: (x) / Apendix transit attached -
Goods duty-paid: (x)

*Document regarding import in this transport has to be shown on recuest from Green Cargo

Delivery instructions, notifications remarks other:

Note! In case of different kinds of dangerous goods loaded in the same unit, enter the same unit ID no at the next row (only one type per row).

Unit 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
Unit 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
Unit 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
Unit 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
Unit 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
Unit 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
Unit 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
Unit 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
Unit 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
Unit 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 31-04 (utgåva 3) Kundservice