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Please complete this form for WATER DELIVERY FROM TRUCK TO VESSEL, Takoradi Port

Enter Name & Surname of Agent Placing Water Order
Enter Contact Number of Agent Placing Water Order
Enter Email Address of Agent Placing Water Order
Enter Company Agency Name that is Placing Water Order
Enter Company Name of Client on Who's Behalf Water Order is Placed (Optional)
Enter Vessel Name that will Receive the Water Order
Enter Vessel IMO Number
Enter Vessel Fresh Water Storage Capacity in Metic Ton
Enter Vessel Potable Water Storage Capacity in Metric Ton
Specify +- the Arrival Date & Time of Vessel

Specify Product Requirment

Specify Quantity of Water Order in Metric Ton
Specify Quantity of Water Order in Metric Ton
Additional Comments i.e Special Requirements
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Subject
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* Required