Stacks Image 219

Please complete this form for WATER DELIVERY FROM TRUCK TO Yard, 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 Yard Name where Water Order Should Be Delivered To
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
Autoreply
From
Subject
HTML Body
* Required