SHIPPER (Avsender)
Name:
Adress: Proforma INVOICE NO:
City/postal code
Country
Tel.no/Fax Date
E-mail Ref.
Vat.no
BUYER (Kjøper) DELIVERY ADDRESS (Leveringadresse)
Name: Name:
Adress: Adress:
City/postal code: City/postal code
Country Country
Tel.no/Fax Tel.no/Fax
E-mail E-mail
Number of parcels items Gross weight Net weight
Mode of transport Terms of delivery
Ctry
Qty Full description of goods Customs of Net Value
commodity origin weight
code no.
Reason for export:
Gift Return after loan Exhibition/show Sample
For repair Return after repair For reparation
For repair under guarantee Return for credit For loan
Other
Declaration of origin
The exporter of the products covered by tthis document (Aut. No……………………..) declares that,
except where otherwice cleary indicated, these products are of EEA preferential origin.
Date Place Signature Name in capital letters