Van Dievel Transport - Quotation request

Thank you for your interest in Van Dievel Transport.

To enable us to offer you our best price, taking your specific needs into account, kindly complete the form below and return it to us by fax or e-mail. Click here for a printer-friendly format.

If you wish to discuss, without delay, what VDT could do for your company and at what price, we suggest you give us a phone call (Jan De Wael: +32 (0)15 30 80 07).

Identification
Name of company:
Address:
Tel.:
Fax:
E-mail:

Planning and administration
Ordering schedule (time):
Means of communicating with Van Dievel Transport?	by fax by e-mail
Invoicing address:
BTW-nummer:

Traject
Loading area:
Address:
Loading schedule (time):	H.
Opening hours:	from H. to H. and from H. to H.
Extra loading stage (address):

Unloading area:
Address:
Unloading schedule (time):	H.
Opening hours:	from H. to H. and from H. to H.
Extra unloading stage (address):
Number of trips per day:
Frequency of the transport (i.e. daily, weekly, every 2 days…):
Probable duration of the order (1 year…):
Pre-loading (day before)?	yes no

Goods
Nature of the goods (ADR or not):	yes no
Description:
Number of pallets:
Pallet exchange:	yes no
Packing specifications:
Description:

Truck
Type of truck:	Tractor Tractor-trailer
Type of trailer requested?	Tautliner Boxtrailer (13,6m) Citytrailer (10,5m) Open Trailer other:
Tail-board:	yes no
Roof-loading:	yes no
Additional drop trailer?	yes no

Driver
Bill of lading to be completed by driver?	yes no
Extra services needed from the driver (loading and unloading assistance …)?	yes no if yes, which?
Equipment to be used by the driver (transpallet, key..)?	yes no if yes, which?