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7/23/2019 Receiver Paid - Order Form
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Order form - RECEIVER PAID
1. SHIPPER DETAILS
Company name …………………………………………
Contact person*:……………………………………………
Telephone*:……………….. ………………
E-mail*:……………….. ………………
Pick-up adress*………………………………………
City*…………………………./ Postal code*………………
Country*……………………………………………
2. RECEIVER DETAILS
Company name …………………………………………
Contact person *:……………………………………………
Telephone *:……………….. ………………
E-mail*:……………….. ………………
Adress*:………………………………………
City*…………………………./ Postal code*………………
Delivery DHL Office* (For ucharest choose one o! the !ollo"in# o!!ices: $%E&T' A)EA&A
CP&$ F+,EA&CA or AF' CT,CE)' : ………………
Romania
. SHIP!E"T DETAILS
,eady &hipment*: E& ) ( details:...........................................
Contents*……………………………………………………
Packa#es*:………………………………………………
ei#ht*………………………………0#
1imensions*…………/…………/…………cm
&hipment 2alue*……………………………
1ate : ………………………… Customer si#nature: …………………………
Please !ill in this !orm and send it to: ro3recei2erpaid4dhl.com
7/23/2019 Receiver Paid - Order Form
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*all !ields are mandatory
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