Company Name:

Contact Name:

Position:

Phone Number:

Fax:

E-mail:

Description of the Goods and Its Peculiarities:

Customs Code:

Cargo: Non-Hazardous Hazardous

Cargo Value:

Cargo Total Weight (kg):

Cargo Total Volume (м3):

Cargo Insurance Necessity: No Yes

Transportation Type : One-Time Regular

Code:

Station Name:

Country:

Code:

Station Name:

Country:

Rate Is Needed on the Territory of: All Selectively

Rolling-Stock: Boxcar Gondola Car Universal Platformя Cistern Refrigerator Section 20’ Container 40’ Container 40’ Tank Container 40’ Tank Container Other Type

Calculated Weight Standard of Loading (tons):

Tons:

Containers:

Rolling-stock belongs to: Railway Lines Customer

Additional Information Concerning the Transportation:

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