Everest International Xpress

91-44 4541 0904 [email protected]

Pickup Request

Shipment Information

Pick Up Orgin

Pickup Date Time

Service Type

Shipment Type

Freight Charges To

Freight Charges A/c No

Duty Charges To

Duty Charges A/c No

Payment By

Consignee VAT/Tax ID >

Reference Numbers (Comma Separated if multiple)

Shipper / Exporter

Company Name

Address

City

Postal Code

Country

State

Contact Person

Contact Number

Consignee / Importer

Company Name

Address

City

Postal Code

Country

State

Contact Person

Contact Number

Weight & Value

Total Pcs

Total Wt [Kg]

Declared Value

Currency

Shipment Terms

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