Order

Provider: Geis CZ s.r.o., Zemská 211/I, 337 01 Ejpovice, Identification No.: 44567359, VAT Payer No.: CZ44567359, registered in the commercial register kept by the Regional Court in Plzeň, Section C, Inset 14475

Your order will be processed at our customer centre:
Tel.: 951 277 777
FAX: 951 220 259

Sender (name on invoice):

Company name:	*
Street and number:	*
City:	*
Post code:	*
Country:	*

Phone:	*
E-mail:	*
Payer number:
Business ID:	*
Tax ID:	*

Sender’s contact and address:

Same as sender

Company name:	*
Street and number:	*
City:	*
Post code:	*
Country:	*
Contact person:	*
Phone:	*
Pick-up date:	*

Consignee´s address and contact:

Company name:	*
Street and number:	*
City:	*
Post code:	*
Country:	*
Contact person:	*
Phone:	*

Shipment information:

Number of colli:	*
Type of colli:	*
Weight in kg:	*

Length in cm:	*
Width in cm:	*
Height in cm:	*

COD in CZK:
Variable symbol:
Customer reference:	(e.g. DL or order number)
Note:

We confirm that we are introduced with General business conditions of company Geis CZ s.r.o. and we agree with them. Data shown are correct, shipment response by its size and weight limits in this document and isn’t according to its characters suspend from transport. *

Fields marked with * are mandatory, otherwise you will not be able to send this form.