forwarding order

FORWARDING ORDER
We hereby order INTERLINK LDT. SP. Z O.O. , to forward according to the following conditions:
Customer:
(Company name/adress/Tax Identification Number/National Economic Registration Number)
Contact Person:
(Telephone/e-mail)
We order you:
Description of cargo:
(Cargo/quantity/weight/dimension)
Cargo Value:
We order that INTERLINK LDT arrange the insurance my cargo against transport risks (yes or not):
Supplier:
(Name/adress/contact person/telephon)
The place of loading:
Estimate loading date:
Final customs clearance:
Border:
Place of delivery:
Remark:
Place and date of order
......................................
Signature of Customer
.......................................
INTERLINK LDT. SP. Z O.O. UL. POMORSKA 50A, 81-314 Gdynia , VAT-ID: PL 586-10-41-747, registered in the District Court in
Gdańsk-Północ, VIII Commercial Department of the National Court Registry, KRS No. 0000009647, initial capital 50.400,0