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Delivery Information

Sender: (*)

Telephone: (*)

E-mail: (*)

Address: (*)

Hamlet:

Town: (*)

Zip Code: (*)

Province: (*)

Recipient: (*)

Address: (*)

Hamlet:

Town: (*)

Zip Code: (*)

Province: (*)

Reclaim Date: (*)

Reclaim Time: (*)

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Delivery Date: (*)

Delivery Time: (*)

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Recipient closing day: (*)

Goods Information

Pallets Number: (*)

	yes	no	don't know
The delivery is made to a private
The goods is superimposable
I need a tail lift for unloading
I would advise by phone the recipient Telephone:
The goods is ADR
The vehicle must be loaded from side
The vehicle must be loaded from back
The delivery area has access limits ZTL Vehicle size
Need for porterage for loading the goods
Need for porterage for loading the goods
Cash on delivery Amount €:

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