Your initial(s) (required)

Your surname (required)

Your Date of birth (required)

Your ID Number (required)

Your Company (required)

Your Email (required)

Your Telephone (required)

Ship (required)

Order number / if not available please use n/a (required)

Date of visit (from-To) (required)

Reason of visit (required)

License Plate

I herewith give Flushing Shipping Agencies BV permission to use and keep the personal data for the processing of this data in accordance with the terms of the GPDR. Your data may be shared with relevant parties

Please note, you will receive a email confirmation of your announcement.