Road Freight Import Estimate

Name of Company:
Address:
Town:
Telephone No:
Fax No:
E-Mail:
Name of Contact:

Cargo to be uplifted from:

Name:
Address:
Town:
Country:
Telephone No:
Fax No:
Name of Contact:

Cargo to be delivered to:

Name:
Address:
Town:
Country:
Terms of Purchase:	FOB etc
Must goods be insured:	Yes No

Full Description and Value(Specify each type if different with individual values)

Description:		Value
Description:		Value
Description:		Value
Description:		Value

No. of Pieces/Cartons/Units and Dimensions