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Order shipment form

Shipment Request to SRX Company

APPLICATION has been prepared by:
Name
E-mail
Address
Telephone
Fax
SITA
INFORMATION ABOUT THE CARGO
Nature of the cargo
Gross weight
Volume
Number of pieces
Dimensions / Packing list
Special conditions for transportaion (temperature, right up position, etc.)
TRANSPORTATION ROUTE
Country of Origin
Country of Destination
City of Origin
City of Destination
Pick up address (if nessesary)
Delivery address (if nessesary)

Hazardous goods:

Yes No

TRANSPORTATION TERMS
Estimated date of the cargo transportation
Special requirements: (please, describe the required services if necessary: Customs clearance services, Cargo Insurance, Invoice Value, etc.)

1050 Lee Wagener Boulevard
Ste 105
Fort Lauderdale, FL 33315
United States

Phone: +1 855 SRX-AERO ext.201
Fax: +1 954 6351411
E-mail:info@srx.aero

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