Name
  Company
  Address
  Country
    Phone
      Fax
    Email

Please state items  

Quantity
  Remarks

Shipment mode Air freight
               Sea freight
               By land

Destination/  
Port of        FOB (Free on board)
discharge      C&F (Cost and freight)
               CIF (Cost, insurance and freight)

Payment mode   Telegraphic transfer
               Cash
               Letter of credit
               Others

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