Estimate and services request
Name:	*
Company:
E-mail:	*
Phone:	*
Fax:
Yours. ref.:
Correspondent:
Description of the work of art to be transported:
Technique & material:	* Select a voice Painting Drawing Sculpture Forniture Fragile Ceramic Glass Photo Gravure Other
Description of the work of art:
Contemporary work of art (less than 50 years) Old work of art (more than 50 years) *
Measuraments (l,w,h):	cm Inch
Estimate weight:	Kg
Total value:	Lire USD Euro
Single value of the works of art:
Sender:
Name:
Company:
E-mail:
Phone:
Country:
State:
Address:
V.A.T.:
Floor:
Man request:	1 2 3 4 persone
Consignee:
Name:
Company:
E-mail:
Phone:
Country:
State:
Address:
V.A.T.:
Floor:
Dept:
Att.:
Shipment:	Select a voice Urgent vehicle Express Consolidate by Air by Sea Other
Shipping Company:
Packing request:	Select a voice Pluriball Paper Pluriball Paper tissue Climabox Box Carton Case Duble Case Already packed
Invoice to:	Select a voice Sender Consignee Other
Insurance covered by:	Select a voice Sender Consignee Panzironi Not to do
Photo:	Select a voice Already done To do Not to do
Custom formalities by:	Select a voice Panzironi Other Agent Client
Note:
( * ) Obligatory forms