rola-info.eu

Truck-on-Train Booking Form for
euroShell Card Customers

Fields marked by * are mandatory

Trip details

Route:*

Date of departure (Day/Month/Year):*

Range of departure time from:*

To:*

Vehicle registration number:*

Length (in cm):*

Hight (in cm):*

Weight (in kg):*

Number of drivers:

Company details

Company name*:

Customer number:

Contact name*:

Street:

Postal code:

City:

Country:

Payment details

Email address*:

Telephone number*:

Mobile phone number:

Fax number:

VAT number:

euroShell Card (19 digits starting "7077")*:

Validity (Month/Year see card)*:

I accept the terms and conditions of the respective operator*:

	Technical requirements Hupac
	Terms and conditions R. Alpin AG