49 (0) 5978 9995-0

Sommer GmbH & Co. KG Venhäuser Weg 1148477 Hörstel-Dreierwalde Telefon: +Telefax: +49 (0) 5978 9995-195

Order

Escort

Name of the transport company:

Address:

Phone: Fax:

Transport manager:

vehicle (s)

co-driver

Number of BF 3 pilot car:

Number of Co-Driver:

Organisation Police escort:

Organisation TÜV/Load-certificate:

Transport measurements:

Length: Width: Height: Low able to: Weight:

Transport date: Departure time:

Place of departure/ Postcode:

Name company/ Street:

Place of arrival/ Postcode:

Number of trucks: convoy: yes no

Name truck driver:

Phone no. truck driver:

.........................................................Place, date

.....................................................Stamp, signature

:Number of transportation nights:

m m m m to