Gooikensdam 1
4905 BM Oosterhout
Nederland
T +(31)(0)162 45 54 84
F +(31)(0)162 43 14 36
Ordersheet

VAN LEEUWEN CONTAINER SERVICE BV
Gooikensdam 1,
4905 BM Oosterhout
T +(31)(0)162 45 54 84

Name Ordering customer
Date accomplish trip
Company address
Postcode
Land
VAT no
   
Invoice address(or PO Box)
Postcode
   
   
Phone
Fax
Contactperson
E-mail
   
Trip

 From
 To
 To
Details
Kooiaap € 50,- extra
Sort of goods
Pallet Quantity pallets Switch pallets necessary
Rate: €
   
Date to load
Loading point
Load address
Loading time
Contact person + phone
   
Date to unload
Unloading point
Unload address
Unloading time
Contact persone + phone
   
How long to unload
How long to load
   
  We will send you a copy of this form.