Quick Quote Form
Company Name:
Contact:
Email address:
Phone:
Fax:
Commodity:
Insured Value: US$
(CIF + 10%)
Packing:
Containerized
In New Drums or Reinforced Bags
BreakBulk
On Flat Racks
On Trailer
Crated
Palletized
Other (Describe below)
Transit:
>
Select
Air
Land
Ocean
Vessel Stowage:
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Select
On Deck
Under Deck
Name of:
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Vessel
Barge
Airline
Trucker
RR
Where Insurance Begins (origin):
Where Insurance Ends (destination):
Institute Cargo Clauses applicable:
ICC(A)"all risk"
ICC(Air)"all risk"
ICC(C)"basic perils"
Scheduled Ship Date:
Comments / Additional Info:
