Company Name (Required）

Department

Name (Required）

E-Mail Address (Required）

Telephone Number (Required）

１．Scope of Quotations (Required）
 Export　 Import　

 Ocean Shipment　（ FCL　 LCL ）　　 Air Shipment

 Export Customs Clearance　 Import Customs Clearance　 Vanning　 De-vanning　

 Cargo Pick-up　 Cargo Delivery　 Packaging　 Unstuffing　

 Waste(Packing) Material Disposal　 Other Works　（　　）

２．Trade Terms(Required）
 EX-WORKS　 FOB　 CIF　 DDU　 DDP　 other conditions

３．Shipper's Name and Address
Name：　Address：

４．Consignee's Name and Address
Name：　Address：

５．Commodity
Commodity(Required）：

HS Code：

６．Port of Loading (Airport of Origin)(Required）：

７．Port of Discharge (Airport of Destination)(Required）：

８．Freight Payer (Required）： Pre-Paid　 Collect

９．Insurance： necessary　 not necessary

１０．In case of Dangerous Cargo, please indicate Class / UN Numbers and other data
Data of Dangerous Cargo：

１１．Cargo Size, Weight and Quantity (Number of Containers in case of FCL)
Detail of Cargo：

１２．Cargo Pick-up Address if needed
Address：

１３．Cargo Delivery Address if needed
Address：

１４．Other Conditions