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Company Name:
Contact Person:
Address:
Work Phone:
Cell Phone:
Email Address:
Fax Number:
SHIPMENT DETAILS:
MODE OF TRANSPORT:
Import
Export
Domestic
Ocean
Air
Road
Place of Load:
Place of Destination:
Custom tarrif heading:
Declared Value for
Customs:
IncoTerm:
Insurance Required:
Collection Required:
Commodity:
Collection Address:
Delivery Address:
Detailed Description
of Goods:
Special Instructions:
Estimates will be based on all information provided.
In order to provide you with VAT and Duty, kindly advise value of
Cargo Type
General
Hazardous
Refrigerated
Out of Gauge
Breakbulk
Un Number
Dimensions
Centimeters (cm)
Meters (m)
Millimeters (mm)
Length
Width
Height
Quantity
(number of pieces)
Total/Gross weight per piece
(including packaging)
TOTAL
OCEAN FREIGHT ONLY (Please enter if known)
ROAD FREIGHT ONLY (Please enter if known)
Container Type
20 ft
40 ft
40 High Cube
FCL
LCL
Reefer
Flat Rack
Open Top
ISO Container
Full Truck Load Details
Tri - Axle (open)
Super Link (open)
Tri - Axle (closed)
Super Link (closed)
Abnormal
Refrigated
AIR FREIGHT ONLY (Please enter if known)
CONSOL/ABNORMAL CARGO DETAILS
Service
Type
Consol
Flash
Back2Back
Straight
May Cargo be Stacked
Yes
No
Onforwarding
Air
Road
Packing Required
Yes
No
May Cargo be Stacked
Yes
No
Customs Supervision
Yes
No
Imported or Bonded
Yes
No
TERMS AND CONDITIONS
1. The above is an estimate of anticipated normal charges and is not a binding quotation.
2. All rates and charges are based solely on the data given above as supplied by yourselves.
3. All rates and charges obtained from third parties are supplied to us by them and are subject to alterationand/or withdrawal without notice.
4. This estimate is only valid in the month of issue.
5. Final pricing can only be done on receipt of cargo.
6. Surcharges are subject to change at time of shipment.
7. This estimate number must be given at the time of shipping.
8. Charges for clearance and delivery at final destination are only considered final on receipt of all third party invoices.
9. UTi reserves the right to ship cargo on a carrier other than the one quoted.
10. The above estimate includes Value Added Tax (if applicable.
11. Should the above estimate be accepted it will be subject to our standard trading terms and conditions a copyof which is available on request.
12. We are entitled at any time by notice to you to cancel or resile from any estimate where it becomes impractical or uneconomical forus to carry out the shipment at the estimated rate and you will have no claim whatsoever against us for cancellingor resiling from this estimate.
13. All estimates are subject to revision without notice having regard to changes in currency exchange rates andupward movement in any amounts payable by us to third parties.
14. Should the above estimate be accepted by you, you are requested to sign below and fax or email a copy back to the sender to enableus to action and follow up on this shipment.
I Agree to the Terms and Conditions
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