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Proposal for HUMANITARIAN AID supply to the organization "Slavic Mission in Europe"
IMPORTANT: Please feel in a separate form for each delivery date!
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* Indicates required question
Name and Surname:
*
Your answer
Contact number (mobile):
*
Your answer
Date of departure:
MM
/
DD
/
YYYY
Expected arrival date:
*
MM
/
DD
/
YYYY
Expected arrival time:
Time
:
AM
PM
Country of departure:
*
Your answer
City of departure:
Your answer
Type of vehicles:
*
Van
Truck
Car
Expected number of vehicles:
Your answer
Vehicle plate number(s):
Your answer
Name and surname of the driver(s):
Your answer
Mobile number of the driver(s):
Your answer
App. amount of humanitarian aid (in pallets, cubic m, or tonnes):
Your answer
Type of package:
*
Boxes
Pallets
Bags
Mix
Other:
Required
Type of humanitarian aid:
*
First aid
Medicine
Personal belongings
Personal hygiene
Food
Housewares
Mix
Other:
Required
Comments:
Your answer
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