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Contact Information

**Contact Information**
company name, region, name, recommendation...
Company name
City		Country
Department Title		E-mail
First Name		Last Name
Phone		Fax
Recommendation	HG USA Other
Current H&Friends GTL Customer?	HG USA Other

Shipment Information

company name, region, name, recommendation...

Mode of Transport

Origin Point

Destination

Contact Nation

Contact Branch

Description of Goods

Dimensions in

cm in

Weight in

kgs ibs

Terms of Delivery

Ex-works FOB FCA CIF/CFR Other

Dangerous Goods?

Yes No

Other Requirements

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Consent to Collect/Use Personal Information
Purpose	Data	Retention period	Accept agreement
Contract implementation for contacts and handling customer complaints	name,email,phone and fax number	5 days after membership withdrawal or end of Alliance Services	Agree