PROFORMA INVOICE

Date

Ref. City

City City

SHIPPER Company Name VAT-no Name / Department Address Postal code Country Telephone/Email

CONSIGNEE Company name VAT-no / Business ID Name / Department Postal code Country Telephone/E-mail

CONSIGMENT DETAILS Number of parcels and packaging type Gross weight (kg) Mode of transport Reason of delivery

DELIVERY ADDRESS Company name VAT-no / Business ID Name / Department Postal code Country Telephone/E-mail

Terms of delivery Total Net weight (kg)

Payment details, if any Currency on Proforma

Description of the goods HS-customs Country of Qty Net Value and code Origin weight currency

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The exporter of the products covered by this document declares that, except where otherwise clearly indicated, these products are of preferential origin.

Stamp

Place and date

Shipper´s name

_________________________________________________ Signature and name clarification