TOUT INCLUS 2024 ENG - CHALON MACON - Flipbook - Page 29
Do you need a transportation of goods on a pallet ?
Fill in the form and ask your MBE Center.
Pallet transport
request
Date of request : ___/___/____
Who is asking for a quotation (Company + Contact name) :________________________________________________________
Contact (email + cell.) : ________________________________________________________________________________________
Billing to :
The winery/seller
The receiver
1. Pallet detail :
Content (goods description) :________________________________________________________
Value of the content :
Do you need insurance ? YES / NO
Quantity of pallets :________________________________________________________________
Weight per pallet (including pallet weight itself) :___________________ kg
Size of each pallet (L x W x H) : ________x_________ x_________ cm
________x_________ x_________ cm
________x_________ x_________ cm
Does the MBE Center need to provide the pallet ? YES / NO (Yes : +20.00 € excl. VAT per pallet)
Is the MBE Center responsible for palletizing the products ? YES / NO
2. Receiver (complete information needed) :
Address : ____________________________________________________ Building, appartment : _______________
Zipcode : __________________ City : __________________________________________________________
Country : _________________________ State/Prov./County :__________________________________________
Phone numb. (cell) : __________________________________________________________________________
Email : ________________________________________________________________________________________
3. Logistic :
Pick up of the pallet : is the pallet already prepared for the transportation ? YES / NO
If not : the pallet will be ready to be picked up on _____ / _____ / _______ from _____ h ______.
Maximum delivery date : _______________________________
4. Accompanying documents :
The client provides the commercial invoice for the goods : YES / NO
The MBE Center assists you with preparing your documents : YES / NO
For wine shipments abroad :
- Are the bottles sealed with CRD capsules ? YES / NO
If no CRD, a DAE or DSA must be completed (see page 9).
Customs fees : paid by sender / paid by recipient
5. Additionnal information :
Customer comments :____________________________________________________________________________________
________________________________________________________________________________________________________
Customer signature :
Your MBE Center will only process a quote request if the form is fully completed.
Thank you for your understanding.
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