1. NAME

2. COMPANY NAME *

3. YOUR EMAIL *

4. CONTACT NUMBER

5. SHIPMENT WEIGHT/VOLUME *

6. SHIPMENT TYPE *

7. SHIPMENT READY DATE

8. MODE OF SHIPMENT SeaAirRoad

9. INCO TERM FOBFCAC & FDDUDDPDAPCIF

10. FROM *

11. TO *

12. PRODUCT DESCRIPTION

13. SHIPMENT VALUE *

14. HS CODE *

15. CARGO TYPE CommercialNon-Commercial

16. CARGO INSURANCE YesNo

17. SHIPMENT DELIVERY DATE

* Required