Simba Shipping Online Booking Form

Shippers Name (Your Name)*

Email Address*

Shippers Address (Your Address)*

Shippers Telephone Number (Your Telephone Number)*

Receiver Name*

Receiver Address*

Country of Final Destination*

if countries are not listed please select 'Other'

Port of Discharge*

if Others

Vehicle Make*

Vehicle Model*

Vehicle Registration Number*

Vehicle Chassis number*

Engine Number

Engine Capacity

Year of Manufacture*

Vehicle Color*

Vehicle Value*

Attach Log Book or Any other documents

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List of Any Items Put in the vehicle