PICK UP FORM

CUSTOMER DATA

* Name/Company Name:
* Address: * Street number:

* City:

Pick up data

After:

*Openings hours:

* Contacts:

* Phone:

* E-mail:

Number of parcel

Weight

Length

Width

Height
cm

Volume
m 3

Pype

Stackable Pallet

Total:

Kg

     

m3

   

Destination

* Country:

* City:

* ZIP:

Notes:

Antispam:
Type the code below.
 

Personal data protection: In full compliance with Italian Legislative Decree D.L. 196/2003 governing “Protection of personal data”, Euronord informs you that the details you have given will be used for statistical and other internal purposes.