Commodity Product Request Form
Please provide as much detail as possible. Fields marked with * are recommended.
Company Name *
Trading Name / D.B.A.
Contact Person *
Position / Title
Email Address *
Phone Number *
Company Address *
Product Category (select one or more)
Minerals
Agriculture
Construction Materials
Housing Products
Other
Product Name *
HS Code (if known)
Quantity Required *
Required Specifications *
Packaging Requirements
Preferred Country of Origin
Destination Port / Location *
Preferred Delivery Timeline *
Payment Method Preference *
-- Select --
Telegraphic Transfer (TT)
Letter of Credit (LC)
SBLC
Cash Against Documents
Target Price (USD)
KYC Documents (tick if attached)
Certificate of Incorporation
Proof of Address
Authorized Signatory ID
Tax / VAT Registration
Expected Contract Duration
Minimum Purchase Obligation
Quality Inspection Preferences
Additional Notes / Attachments (describe)
Authorized Name
Position / Title
Submit Request
