quotation request

Please complete the following in as much detail as possible.  GLN will route your inquiry to the most appropriate local Members in your country. They will respond directly to you

Company Name:  

Contact Person:  

Title / Position:  

Telephone:  

Cell/Mobile:  

Fax:  

E-mail:  

Address:  

City, State, Zip/Postcode:  

Country:  

Are you a freight forwarder?:  

Service Requested:  

Air   Ocean   Truck   Charter

If Ocean, please specify:  

LCL   FCL Other

If Ocean FCL, please specify:  

20'   40'   HC

Origin: City/Country:  

Shipper Name (For "known" shipper purposes for USA originating freight  

Destination:  City/ Country :  

Terms of Sale: (ie Ex Factory or FAS):  

# of Pieces:  

Weight (each piece in kilos):  

Dimensions (each in centimeters):  

Commodity:  

Insurance required?:  

Yes   No

Hazardous Goods?:  

Yes   No

If Hazardous Goods, specify UN#/Class:  

Terms (P=Airport: D=Door):  

D-P   P-P   P-D   D-D

Transit Days Requested:  

Departure Date:  

Recurring business?:  

Yes   No

Special Shipping Instructions:  

Please type 9999 in this box  

(to validate that you are a human:)