Container/Chassis Storage Form

Note: One form must be completed for each container in your request.

All requests have to be placed between 7.00 am and 2:45pm.

The payment rate of USD 8 per day or part thereof and can be paid in advance or prior to removal of the trailer/container. Payments can be made at the port cashier between the hours of 7.00 am to 6.00 pm.

Customer Name*

Customer Address*

Customer Telephone Contact (123-4567)*

Your E-Mail Address*

Haulier Company Name (If different from above)

Haulier Company Address

Haulier Company Telephone Number (123-4567)

Container Origin

Container Number*

Container/Trailer Size*

Truck Number

Trailer Number

Proposed duration of storage (in days)*

Storage start date

Storage end date

Additional Remarks

Name and Designation of Requester