C

    Your personal information

    Last name*

    E-mail address*

    Order number*

    The following articles/items in my shipment, have an individual value of more than € 1.000,00 (one thousand EURO) or an exceptional value related to the nature of the article/item. A matching set of items with a total value above € 1.000,00 (e.g. four dining table chairs) can be noted as well.

    *Jewellery and cash money are not covered.

    Items

    If you have more than 10 items, please add a document with these items additional to this form.

    Document with items for shipment

    *=required field(s)

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