EMPRESA NAVIERA MERCANTE

Charterer´s Information

Who will sign the contract:

Position:

Personal passport ID:

Name of the company:

Company Registration #:

Company Detailed address:

City/ZIP:

Country:

Business telephone:

Business fax:

Cell phone:

Email:

Skype ID:

Website:

TYPE OF SHIP

Tonnage Required:

Terms:

Sts transfer requirement:

Cargo to trade:

Cargo quantity intention:

IN SPOT

Number of voyages:

Load port:

Discharge port:

Load / discharge rates:

Freight ideas:

Intended laydays:

Cancelling date:

Ship´s documents required:

Other requirements:

In Time Charter

Period of contract:

Trading area:

Intended trading cargo:

Daily hire idea:

Suggested delivery:

Suggested re-delivery:

Laydays:

Cancelling date:

Bunker rob @ delivery:

Bunker rob @redelivery:

Other requirements:

Ship´s documents required:

Loadport Information

Intended loadport:

Terminal name, limitations:

Limitations:

Size:

Length:

Others:

Expected loading at the loading port:

Cargo Port Agent

Full name:

Phone number:

Email:

Other data:

Discharge Port Information

Expected port of discharge:

Terminal name:

Limitations:

Size:

Length:

Others:

Discharge Port Agent

Full Name:

Data:

Phone:

Email:

Other data:

We hereby confirm with full legal and corporate responsibility and under penalty of damages that we are ready, willing and able to contract and/or charter the tonnage of the ship as described and enter into the contract of quotation and contract of charter with the owners.

Captcha

Request for quotation

Charterer´s Information

TYPE OF SHIP

IN SPOT

In Time Charter

Loadport Information

Discharge Port Information