Name:
Phone No:
Email
HAWB#
Booking Reference:
Account Number:
You are hereby requested and authorized upon receipt of the consignment described herein to prepare and sign the Air Waybill and other necessary documents on our behalf and dispatch the consignment in accordance with your Conditions of Carriage.
Shipper
Consignee
Consignment Reference No:
Airport of Departure:
Airport of Destination
Requested Airline
Please Raise The House Air Waybill	yes no
Please Complete Customs Entry	yes no
We Will Deliver To The Following Station
Date of Delivery
Please fax us a copy of the commercial invoice if you wish is to make the customs entry. * Charges apply - see the current tariff for details.
Requested Service
Airport To Airport
Airport To Door
Marks & Numbers
No. & Kind of Packages
Description of Goods
Gross Weight KGS
Measurement CMS	L x W x H
If the shipment is classes as dangerous, please enter the details here:
UN Number
Net Quantity
Packing Instruction
Class
OK Passenger or Cargo Aircraft Only?
Air Freight Charges (Mark One To Apply)	Prepaid  Collect (If Available)
Other Charges	Prepaid  Collect (If Available)
I certify that the contents of this consignment are properly identified by name. Insofar as any part of the consignment contains dangerous goods, such part is in proper condition for carriage by air according to the applicable Dangerous Goods Regulations.
Additional Information
Name
Date