Price Estimate APPLICATION FORM PLEASE NOTE: Please note that our final estimate will be based on the above information as supplied by yourselves. Any deviation will result in our estimate being invalid. Please submit a copy of the estimate to us should the estimate be successful. Phone Date: Importers/Exporters Code: Company: KMARG Account number: Address: Contact Person: Tel No. Fax: Email Address: Actual Shipment: Yes No P/O Number: Description of Merchandise: Customs Tariff code if known: Mode of Packing: crated, loose etc. Currency: Value: Total Weight: Number of pieces: REQUEST TYPE Import Export MODE Air Sea Road CONTAINER SIZE 6M / 20’ FCL 12M / 40’ FCL LCL/GROUPAGE BREAK BULK 12M /40’FCL HC CONTAINER TYPE GENERAL PURPOSE REEFER OPEN TOP FLAT RACK ABNORMAL TERMS OF PURCHASE/SALE EXWORKS FOB FCA CFR CIF CIP DDU DAP DDP FROM: Named Place? (If Ex-works, supplier’s Address: Zip/Postal Code) TO: Delivery Address: Zip / Postal Code HAZARDOUS (if Yes, please attach MSDS) Yes No IMCO CLASS UN NUMBER Other Details: Share this: