Transportation Order Please, fill out this form and send it to Eurotransport Örebro AB at [email protected] Payment in advance Customer Data / Payer Org / 6RFLDOVHFXULW\QXPEHU 1DPH 3KRQHQXPEHU =LSFRGHDLVWULFWCRXQWU\ &HOOSKRQHQXPEHU &DU *RRGV'DWD Minivan/SUV &DUPRGHO 0RWRUF\FOH 5HJQU / &KDVVLVQXPEHU 7KH9HKLFOHLV 'ULYHDEOH 3ULYDWHSHUVRQ Data on Loading 1RWVWDUWLQJ &ROOLGHG $XWRFRPSDQ\, 2SHQLQJKRXUV: _____________________________ 1DPHRI$XWRFRPDS\ / 3ULYDWHSHUVRQ $GGUHVV =LSFRGH'LVWULFW&RXQWU\ 3KRQHQXPEHUV 2WKHU,QIRUPDWLRQ &RQWDFWSHUVRQ 'DWDRQ8QORDGLQJ 1DPHRI$XWRFRPDSQ\3ULYDWHSHUVRQ $GGUHVV =LSFRGH'LVWULFW&RXQWU\ 3KRQHQXPEHUV 2WKHU ,nformation &RQWDFWSHUVRQ 'HVLUHGGDWHIRUWUDQVSRUWDWLRQ The vehicle is ready for transportation from: %RRNHGGDWH Booking confirmation Desired Fax:_______________________________ Phone: _______________________________ Mail:__________________________ (Signature) (Print Name) For any inquiries on transportation, please call +46(0)19 - 240 280 Fine Print 1 The vehicle should be payed for and all set at the time for loading. 2 3 A copy of registration papers / brief should be in the vehicle during the transportation. Order cancellation should take place no later than 24 hours before planned week for loading. If an order is cancelled later than that, full prize is debited. Eurotransport in Örebro AB, Org nr. 556577-4899, Södra Gårdens väg 6, 702 21 Örebro. Phone +46(0)19- 240 280 Fax 019- 240 290 [email protected] För beställning av inrikes transport, ring 08 - 25 63 30
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