Logistics Request General InfoRequester Name (Manta5)(Required) Name of employee completing the formCargo Ready Date(Required) DD dash MM dash YYYY Date the goods are packaged, packed, and ready for collectionDepartment(Required) Department the movement will be billed to. If R&D, include the associated R&D projectShipment Purpose(Required)CommercialConsignmentSampleGiftWarrantyReason for shipment. E.g., a sale is commercialShipper InfoShipping information for company shipping the goodsShipper Company Name(Required) Shipper Company Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Shipper Contact Name(Required) First Last Shipper Contact Phone(Required)Shipper Contact Email(Required) Consignee/Receiver InfoShipping information for company receiving the goodsConsignee Company Name(Required) Consignee Customs Information(Required)USCI (if China)Customs NumberTax ID Add RemoveConsignee Company Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Consignee Contact Name(Required) First Last Consignee Contact Phone(Required)Consignee Contact Email(Required) Carton DimensionsDimensions, Weight and Contents of each packaged cartonCarton Information - Carton 1(Required)Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveCarton Information - Carton 2Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveCarton Information - Carton 3Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveCarton Information - Carton 4Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveCarton Information - Carton 5Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveCarton Information - Carton 6Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveCarton Information - Carton 7Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveCarton Information - Carton 8Dimensions (L x W x H cm)Gross Weight (KG)Products in Carton (Include Quantity) Add RemoveProduct InformationProduct information of each individual product in shipment. Each item must be listed separately.Product Information - Product 1(Required)Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 2Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 3Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 4Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 5Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 6Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 7Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 8Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 9Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 10Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 11Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 12Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 13Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 14Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 15Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 16Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 17Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 18Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 19Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add RemoveProduct Information - Product 20Product DescriptionHS CodeCost (USD)QuantityUnit Weight (KG)Country of Origin Add Remove
