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[接上页] ADDRESS ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------ 城市 邮政编码 □□□□□□ CITY POSTAL CODE 文件□ DOCUMENT 物品 □ PARCEL 如系物品,请据实填写内件名称及数量。如需保价,请据实申报保价金额并交纳保价费。 PLEASE SPECIFY THE CONTENTS AND AMOUNT OF THE PARCEL, DECLARE VALUE FOR CARRIAGE AND PAY THE APPROPRIATE CHARGE. 重量 千克 WEIGHTKG 体积 长×宽 ×高 = 厘米3 VOLUME×W ×H= CM3 保价□ DECLARING A VALUE FOR CARRIAGE 保价金额:万仟佰拾元(大写) DECLARED VALUE FOR CARRIAGE 付款方式 现金 □ 协议结算□ MEANS OF PAYMENT CASHAGREEMENT 内件品名 NAME OF CONTENTS 数量 AMOUNT -------------------------------- -------------------------------- -------------------------------------- -------------------------------------- 资费 CHARGE ¥ 加急费 URGENCY SURCHARGE ¥ 包装费 PACKAGING FEE ¥ 保价费 CHARGE FOR DECLARED VALUE ¥ 费用总计 TOTAL ¥ 1%□ 2%□ 3%□ 商定AGREEMENT □ 特别声明 SPECIAL STATEMENT 非禁寄品 □ 易碎 □加急□其他 □ 收寄单位 业务专用章 Business Seal of the express service provider NON-PROHIBITED ARTICLES FRAGILE URGENT OTHERS 非保价快件赔偿限额 COMPENSATION LIMITS FOR ARTICLES WITHOUT DECLARED VALUE 资费2倍□ 资费5倍□ 商定□ CHARGE X 2 CHARGE X 5 AGREEMENT 收件人签名 RECEIVER’S SIGNATURE Y年M月D日H时 证件:证件号: ID:ID NO.: 代签人签名: AUTHORIZED SIGNATORY: Y年M月D日H时 证件:证件号: ID:ID NO.: 寄件人签名: SENDER’S SIGNATURE Y年M月 D日 H时 收寄人员签章: ACCEPTED BY (SIGNATURE) 备注REMARKS 单号位置 填写本单前,务请阅读背面快递服务协议!您的签名意味着您理解并接受协议内容。 YOUR SIGNATURE INDICATES YOU HAVE READ, FULLY UNDERSTAND AND ACCEPT THE “DOMESTIC EXPRESS SERVICE AGREEMENT” ON THE BACK OF THIS FORM. 请正楷用力填写!服务电话: 查询电话: 网址: PRESS HARD HOTLINE INQUIRY LINE WEBSITE |