Application Form

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Origin of goods*

Total Weight goods

Destination of shipment*

Commodity*

Please select an incoterm*
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Contact Name*

Company Name*

Company Domicile*

Postal address*

Telephone*

Telefax*

Email address*

How would you like to be contacted?*
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Do you have a regular contact person at Elenvio? If yes, please enter the name here, so that your request can be forwarded accordingly

Elenvio Contact

Where are you Based?*