Forwarding service order no date

FORTA Logistics Sp. z o. o.

ul. Paczkowska 38, 04-693 Warszawa

NIP: 952-20-94-393, REGON: 142535159, KRS: 0000363537

Tel.: [phone], Fax: [phone], E-mail: [e-mail]

Forwarding service order

no date

to Forta Logistics Sp. z o.o. Warszawa

Export Import Transit Intra EU Transport
Hereby we confirm receving forwarding order on below condtions:

Ordering party:

(Name, address,

Person in charge

E-mail, Tel, Tel. kom, Fax)

2. Shipper

(Name, address, PIC.

Tel.,Fax, E-mail)
3. Consignee

(Name, address,

Tel, Fax, E-mail)



4. Loading place

(Name, address,

PIC,
Tel, Fax, E-mail)
5. Unloading place

(Name, address,

PIC,
Tel, Fax, E-mail)


6. Port of Loading: Port of destination:
Sea transport will be organized pursuant to bill of fading conditions, which are available upon request.



7. Notify party:


8. B/L issue to:



Incoterms 2000/2010:



B/L type: Original Waybill
9. Cargo description

Cargo name:

.

HS code : Number and type of ctnrs:

Dangerous foods as per IMDG: Yes No Class: UN: IMDG:

Special instructions:



(Details with container numbers, quantity, weight, dimensions, marking and special instructions for issuing transport documents will be presented by ordering party on day of loading the goods in containers) .


10. Cargo readiness:
11. Requested inspections:

Type:

Place:
12. Customs clearance

By ordering party by forwarder

EU delivery non-EU delivery

- type of procedure : - place of C/C:

- Customs Agent details:

13. Additional conditions:

Loading/unloading freetime: With customs clearance:

Rates after freetime:

Ordering party is obliged to cover stoppage charges after freetime.

14. Payment conditions:

Freight:

Others:

Due date: from invoice issuing date:

Payments in PLN will be transfered into foreign curencies according to bank PEKAO SA selling rate.

15. Enclosures (to 1st order only):

- Court Registry, Statistic no VAT / TAX number

- others:

This order is settled according to Polish law and Polish General Forwarding Rules (OPWS 2010) available at www.pisil.pl

Ordering party statement:

Hereby we acknowledge above order and mentioned documents and we accept all conditions.