From Time Please insure for Invoice Value & Currency Name Name Address Phone City Country Fax Company Address Phone City Country Destination Pick up required MARKS & No's SHIPMENT CONTAINS DANGEROUS GOODS: Specific Handling/Delivery Instructions Documents to be prepared by Aorangi Customs & Freight DOCUMENTS WARNING: Failure to comply in all respects with the IATA dangerous goods regulation may be a breach of applicable law and subject to legal penalties I have read and agree with the above conditions and wish to submit the above order Aorangi Customs & Freight can complete airways bills/bills of lading and other documents in connection with the dispatch. Carriage and delivery of above mentioned consignment as agents for and on behalf of the shipper in accordance with the carrier’s conditions of carriage subject to our standard trading conditions available upon request No of PACKAGES DESCRIPTION OF GOODS GROSS WEIGHT KGS CUBIC MEASUREMENTS M3 FREIGHT CHARGES DESTINATION CHARGES TERMS OF SALE Departure Airport PURPOSE FOR WHICH GOODS EXPORTED: AIR FREIGHT SERVICE Fax Company CONSIGNEE SHIPPER AIR FREIGHT ORDER