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