SCRAP  PLASTIC/PAPER  BOOKING REQUEST  FORMFax completed Form to 772-781-1393

 

Plastic Material Type: HDPE___PETE___PVC___PC___

                           PS___ LDPE___ PETG___ PP ___

                           Other (Explain) _______________

Paper Material Type:OCC____ Grade____

                                      Office Ledger ____ Newspaper______ Other____________

Material Description: ______________________

Flake: __  Pellet: ___ Baled: __ Loose:___

Expected Load  Delivery Date:  ___/___/201_

Estimated Material Net Weight: __________ pounds

Projected Price per pound: $ _____ or per Ton: $_________  (Attach detail for mixed loads)

Short Ton:_______ Metric Ton:__________

Price Quoted: FOB Location ___________ FAS (Port Location) _____________ C&F (Location)_________________

Total Load Value Payment Requested:  $ ____________

Name of Trucker or Maitime Shipping Company or Responsible Transfer Agent:

 

                             ________________________

 

                             ________________________

 

                             Tel: ____________________

 

                             E-Mail:__________________

 

I, ____________________, certify that the above information is true and correct and accordingly request Export Freight Booking data for same. I understand that any delays in returning loaded/empty vans to Port may incur demurrage charges for which I accept full responsibility and understand said charges if levied may be deducted from any moneys due me for material shipped.

 

 

________________                                                                      ___/____/201_

Signed                                                                                     Date