Container Rental Order FormFor support, contact us anytime: rental@va-Q-tec.com +44 (0)1634 868618 Please complete all red fields Blue: to be completed by the Rental Ops Office only

Order Confirmed

Company Account Code Contact Airport Code

Email Telephone Air Waybill

Airline Forwarder

Purchase Order No. Pharma Shipper

Commodity/Study

Rental Service Type

PDF Temperature Data Loggers Data Loggers can be provided in addition to the integrated data logger in the va-Q-tainer containers, or as the only

Logger* Nets StrapsQuantity

* data logger in the va-Q-case, or va-Q-Tcon containers. Each can be rented for 30 per logger, per trip.

Cargo Straps secure a full load inside the container. Cargo Nets secure less than full load (LTFL down to half load inside the container. Each can be purchased for 60.

Rental StartStart Date Company

Address City

Country Contact

Email va-Q-tec containers are leased EXW (Incoterms 2010) from the Release Network Station. Delivery is included with the va-Q-tainer Full Service Trip Rental to delivery point within a 9 hour truck driver radius of the release Network Station.

to

Post Code Airport Code

Telephone

Container Delivery Point / Shipper Origin

toOpening hours

Container Destination / Return / Collection Point Rental End

Expected End Date Company

Address City

Country Contact

Email

Collection is not standard and must be agreed in advance with your va-Q-tec contact for each order. Please send a request to rental@va-Q-tec.com with the collection time, date and IATA code/s of the container/s after your order is placed. We will book the collection through a partner logistics service provider. The Rental Term will end on the date that the container is made available for us to collect. Please specify the Release and Return Airport Hubs.

Comments:

Post Code Airport Code

Telephone to

Once this page is complete please save to your computer and email it to rental@va-Q-tec.com

Airport code if applicable

Opening hours

www.va-Q-tec.com

Container Rental Order FormPage 2 of 2 : Office to confirm and complete

+44 1634 868618 rental@va-Q-tec.com www.va-Q-tec.com

T: Logistics Service Provider Release Date & Time Arrival Date & Time

Order ConfirmationsBlue: to be completed by the Rental Ops Office only Green: to be completed by the Releasing Network Station

Acc. Code

Release Network Station: This is chosen based on the Container Delivery Point / Shipper Origin and availability

Container Confirmations

to to

Delivery Booked by va-Q-tec Rental Ops

Receipt Network Station: This is chosen based on the Container Destination and available space

IATA Code/s Data Logger/s IATA Code/s Data Logger/s IATA Code/s Data Logger/s

Order Confirmed

Airline Destination Hub:

Delivery Booked by Network Station

www.va-Q-tec.com

Comments: Forwarder: Delivery Arrival: LSP: LSP Telephone: Rental End Date: Delivery Point Company: Delviery Point Address: Release Time from NWS1: Release Time from NWS2: Destination Company: Destination Address: Destination City: Destination Country: Destination Contact: Destination Email: Destination Post Code: Destination Telephone: Delivery Point City: Delivery Point Country: Delivery Point Contact: Delivery Point Email: Delivery Point Post Code: Delivery Point Airport Code: Delivery Point Telephone: Delivery Point Opening Hours 1: 08:00Delivery Point Opening Hours 2: 17:00Destination Opening Hours 1: 08:00Destination Opening Hours 2: 15:00Delivery Option: [Click to choose a delivery option]Rental End Delivery Option: [Click to choose an end of rental option]Rental Trip Type: [Choose a Rental Type]Temperature1: [Choose a Temperature]Temperature2: [Choose a Temperature]Container Type1: [Choose a Container]Container Confirmations1: Data Logger Confirmation1: Container Confirmations2: Data Logger Confirmation2: Container Confirmations3: Data Logger Confirmation3: Container Confirmations4: Data Logger Confirmation4: Container Confirmations5: Data Logger Confirmation5: Container Confirmations6: Data Logger Confirmation6: Container Confirmations7: Data Logger Confirmation7: Container Confirmations8: Data Logger Confirmation8: Container Confirmations9: Data Logger Confirmation9: Container Confirmations10: Data Logger Confirmation10: Container Confirmations11: Data Logger Confirmation11: Container Confirmations12: Data Logger Confirmation12: Container Confirmations13: Data Logger Confirmation13: Container Confirmations14: Data Logger Confirmation14: Container Confirmations15: Data Logger Confirmation15: Qty1: Qty2: Container Type2: [Choose a Container]Qty3: Container Type3: [Choose a Container]Destination Airport Code: Rental Start Date: Ordering Contact: Pharma Shipper: Rental Start Window1: Rental Start Window2: NWS to Deliver: [The customer will collect the container at the release date and time below]Container Confirmations16: Container Confirmations17: Container Confirmations18: Container Confirmations19: Container Confirmations20: Container Confirmations21: Container Confirmations22: Container Confirmations23: Container Confirmations24: Container Confirmations25: Container Confirmations26: Container Confirmations27: Container Confirmations28: Container Confirmations29: Container Confirmations30: Container Confirmations31: Container Confirmations32: Container Confirmations33: Container Confirmations34: Container Confirmations35: Container Confirmations36: Container Confirmations37: Container Confirmations38: Container Confirmations39: Container Confirmations40: Container Confirmations41: Container Confirmations42: Container Confirmations43: Container Confirmations44: Container Confirmations45: Data Logger Confirmation16: Data Logger Confirmation17: Data Logger Confirmation18: Data Logger Confirmation19: Data Logger Confirmation20: Data Logger Confirmation21: Data Logger Confirmation22: Data Logger Confirmation23: Data Logger Confirmation24: Data Logger Confirmation25: Data Logger Confirmation26: Data Logger Confirmation27: Data Logger Confirmation28: Data Logger Confirmation29: Data Logger Confirmation30: Data Logger Confirmation31: Data Logger Confirmation33: Data Logger Confirmation34: Data Logger Confirmation35: Data Logger Confirmation36: Data Logger Confirmation37: Data Logger Confirmation38: Data Logger Confirmation39: Data Logger Confirmation40: Data Logger Confirmation41: Data Logger Confirmation32: Data Logger Confirmation43: Data Logger Confirmation42: Data Logger Confirmation44: Data Logger Confirmation45: Email for Order Confirmation: Acc Code: PDF Temperature Data Logger: PDF Temperature Data Logger2: PDF Temperature Data Logger3: Cargo Straps: Cargo Straps2: Cargo Straps3: Cargo Nets: Commodity/Study: PO No: Air Waybill: Ordering Telephone Number: Ordering Company Airport: Airline: Temperature3: [Choose a Temperature]Ordering Company: Rental Order No: Order Confirmed: Delivery Booked by vQt: Delivery Booked by NWS: repositioning hub: Receipt NWS: [Receipt Network Station - Confirmed by va-Q-tec Rental Ops Office]Cargo Nets2: Cargo Nets3: Release NWS: [Release Network Station - Confirmed by va-Q-tec Rental Ops Office]Release1 NWS: [Receipt Network Station - Confirmed by va-Q-tec Rental Ops Office]