This page contains 2 form.  Please use the form A for direct order or contact our local representative
in your area.  The form B would be supply by our local representative or you may print the form from the
web and send it to us

Form A

Please fill the form and press the submit button:

Name:
UK address:

Phone:
E-mail:
Area   : (Refer to our coverage areas.  If your area is not in the list let us know about it)
Destination town in Malaysia: (eg Kota Bharu, Kuantan etc)
Box Quantity:
18"x18"x30"
18"x18"x20"
Others

Preferable collection date:
From until

We may not be able to collect your box during the period above but it would help us to set the best collection date in your area

Form B



FORM B
Customer No________

Name1:
_______________________________________
Address2:
_______________________________________
_______________________________________
Postcode:__________________
Phone No:_________________
Contact Person3:
____________________________
Overseas Address4:
__________________________________________
__________________________________________
________________________
Contact No5:__________________
Email: ______________________
No of Items Sent6:
____ size A (30"x18"x18")
____ size B (your own box)
Insurance Amount of Cover7:
Special Requirements:

 

 

For Office Use Only
Date:
ETA:
Vessel:
Ref. No:

---------------------------------------------------------------------------------------------------------------------------------------------------------

Customer Slip (Please keep the slip till you receive your boxes)

Name:______________________________________________ Customer No:__________
No of Items Sent6:
____ size A
____ size B

Expected Arrival:__________
Our Contact:
Malaysia:
Integra Frowarding Sdn. Bhd.
Lot 3.34, 3rd Floor, Wisma HLA,
Jalan Raja Chulan,
50200 Kuala Lumpur.
Phone: 03 2413928
United Kingdom: Kamarul Lias Phone: 0181 4595657
Or go to our homepage for updated news:
http://meltingpot.fortunecity.com/yemen/860

Do not hesitate to contact us for any enquiries or if you have not yet received your boxes by the expected date above. Do quote your customer number while dealing with us. Thank you for using our service.

Note:
1. The sender's name who paid for the shipping cost
2. The address where the box to be delivered (in Malaysia)
3. Contact person in Malaysia on your behalf (our agent will quote this name while in Malaysia)
4. Your UK address
5. Your UK phone number
6. Size A (30"x18"x18"); size B (your own box/es)

7. Declared value

 

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Any enquirie arises may be forwaded to [Project Mail]
Last updated: May 31, 1999.