Valuation form

Company name

Provide a name

Name and surname of a contact person

Phone number

Email *

Provide a valid email address

Loading date* (dd-mm-yyyy)

Provide a valid date

Loading city name *

Provide a loading city name

Loading place postal code

Unloading date* (dd-mm-yyyy)

Provide a valid date

Unloading city name *

Provide a unloading city name

Unloading place postal code

Gross weight of the cargo in kilograms

Dimensions and description of cargo

Complete the field according to the following scenario:

• Specify the dimensions of the cargo length x width x height in cm or number of pallets and their dimensions
• Specify the type of the cargo
• Specify an estimate of the value of the cargo

ADR cargo

Additional Information