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Booking form

Customer's details

Name of business:

Contact person:
Street and house number:
Postcode:
Place:
Country:
Telephone number:
E-mail adress:
Transport details
Pick-up address
  
Name of business:
Street and house number:

Postcode:

Place:
Country: 
Pick-up date:
Pick-up time:
Pick-up reference:
Destination address  

Name of business:

Street and house number:

Postcode:

Place:
Country:
Delivery date:
Delivery time:
Delivery reference:
   
Goods  
Type of goods:
Quantity:
Weight:
M3:
Comments:
 


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Zoek
Offices
Har Vaessen® Groep

Sportparklaan 19
6071 RA Swalmen
Nederland
Tel.: (0031) (0)475-507171
Fax: (0031) (0)475-507170 

 709 - 713



Member of the Jan de Rijk Group