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Carrier Application

Direction of transportation (Omsk-Moscow):*

Full name:*

Passport data:*

Date of issue:

Subdivision code:

Make of vehicle:

Vehicle registration:

Trailer registration:

Vehicle colour:

Cargo compartment capacity:

Cargo compartment size L H W:

Maximum tonnage:

Navigation available:

Vehicle production year:

Type of property:

(self-employed entrepreneur, OOO, private individual, etc.)

Mode of payment:

(cash, non-cash)

Crate available:

Platform cover:

Type of loading:

(top, side, rare)

Date and time of availability:

Non-cash payment peculiarities:

Contact telephone numbers and E-mail:

(Scype, ICQ)

Last transportation data:

(where to, from, when) DESIRABLE

Alternative contact:

(company telephone numbers, home telephone number, owner telephone number, any other contact)

Driver telephone number:

Carrier Application

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