Application Form

  Name of your company
 

  Address

 

  Phone

 

  Fax
 

  E-mail
 

  Person to contact with
 

  The kind of service which you would like to use (put X by the proper one):
 
transit procedure
  procedure of release for free circulation
  export procedure
  warehousing, other customs destination, processing
  confirmation EUR.1, ATR certificate

 
INTRASTAT
  
   others services
 

  The place of crossing the border
 

  The name of our office, which service you would like to use
 

  Kind of goods
 

  Foreseeable amount of clearances (in the range of month or year)
 

  What kind of information would you like to receive additionally?
 

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Regon 003140285             NIP  PL 5980004149          KRS 0000080527

Initial Capital 50.000 PLN
PEKAO SA O/Słubice 22 1240 3608 1111 0000 4338 0305
BZ WBK SA Słubice 67 1090 1115 0000 0000 1100 8076
 

Polsped-Gerlach ® 2001 All rights reserved

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