Date*

Consignee*

Address*

VATTIN*

Telephone*

Email*

Contact name*

Position*

Shipper*

Address*

Telephone*

Email

Contact Name

Position

Conditions Import* ( Choose One )
C.O Form ImpNormal ImpPermit ImpQuota ImpCDC ImportC.O Form DC.O Form EC.O Form JC.O Form KC.O Form IMinistry LicencePermit Export

Incoterm 2010* ( Choose one )
EXWFCACPTCIPDAPDPUDDPCFRFOBFASCIF

Port of Discharge* ( Choose One )
MocBai-BavetBinhHiep-PreyvorSihanouk Vile PortPhnom Penh PortTransit CatLai

Type of Shipment* ( Choose One )
FCLLCL

Delivery Requirement*
YesNo

Express Requirement*
YesNo

For routing from country:*

Transportation* (Choose One)
By AirBy SeaBy LandBy Train

Shipper's Warehouse*

Consignee's Warehouse*

Gross Weight (Kgs)*

Measurement (CBM)*

Receiver Quotation?

Address*

Telephone*

Email*

Contact name

Position*