Your Details
Name:	Last: First:
Company:
Phone Number:
Fax Number:
E-mail Address:
How should we contact you?	Phone Fax Email
Consignment Details
What kind of service do you require?	Air Sea Import Air - Direct Service Import Air - Consolidated Import Sea Export Air - Direct Service Export Air - Consolidated Export Sea
Is your shipment a full container?	Full Container 20 Ft Full Container 40 Ft Less Than Full Container
Is the Freight Hazardous?	Yes No
Shipment is to be:	Picked Up Delivered to the ACF dock Delivered by a third party/transport company
Delivery/Pickup Type:	Will advise Location Type: Commercial Residential Other (pleae note in special handling) Special Instructions: Booking Required Special Equipment Required Other (please note in special handling)
Special Handling Instructions:
Is there a COD? (If none, leave blank)	$
Do you require Insurance?	Yes No   Enter insured value:
The shipment is:	Prepaid Collect
Description of goods in shipment (e.g. books): Note: please indicate if any one item exceeds 1000 kgs.
AHECC (if Known):
Pick up Address (required if ARK is to pick up shipment):	Name: Address: City: State: Post Code: Phone: Hours:
Destination Port (if C&F trading terms):
Delivery Address:	Address 1: Address 2: City: State: Post Code:
Required Pickup/Delivery Date:

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