Safcor Panalpina: Sent Import Estimates

TO : Safcor Panalpina - Import Department
From (Business Name) :
Contact Person :
File Reference :
Phone Number :		Fax Number :
E-Mail Address :

Description of goods :
Customs Tariff (if known) :
How packed :		Other :
		Pkgs	Length	Width	Height
Packing Dimensions (if known) (Mtrs)


Total :
Packages :	Cube :	Weight :

How Shipped :
Purchase Terms :	at names place/port :
Other :
Cost Price : Currency :	Amount in For. Curr :
	Exchange Rate to Rand (Optional) :
Suppliers Name :
Suppliers Address : (if purchase terms ex-works)
Port / Place of Loading on Vessel/Aircraft :
Port / Place of Docking / Landing :
Final Destination :
Delivery Address :

Is Cargo Hazardous or Abnormal Cargo ?
Do You Require Insurance ?
Do you have an existing account with Safcor Panalpina ?
Has Safcor Panalpina Previously Quoted you freight rates ?
If Yes give Details :	Rate CURR	PER Other :
	Handling CURR	PER Other :
Special Instructions :

NOTE : Whilst every precaution has been taken to ensure that the above estimate is accurate, we regret we cannot take any responsibility for fluctuations in rates or any unforseen circumstances. Importers are advised to regard the above as a guide to the actual cost. Input VAT other than VAT payable to Customs has been excluded from this estimate. This estimate and any shipment resulting therefrom is subject to our Standard Trading Conditions, copy available on request.