bunkering request form



Details

Vessel Name*

Length*

Draught*

Type

Flag*

Master*

tel./FAX

E-mail*

Delivery Port* Alghero Bosa Cagliari Castelsardo Fertilia Golfo Aranci Olbia Porto Torres Stintino

Agency

Name

Contact person

Tel.

E-mail

Fuel

Fuel* Duty free diesel for commercial use Duty free diesel for export Domestic diesel

Quantity

Delivery dateMonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day12345678910111213141516171819202122232425262728293031 Year202520242023202220212020

Delivery time

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Payment method

Credit card (Visa network)

Bank transfer (Banca di Credito Sardo – Branch No 7271 – IBAN IT63 L030 5917 2200 1899 5100196)

By submitting this form I declare that I have read and accept the privacy statement: Legislative Decree No 196 of 30 June 2003 concerning personal data protection

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Ditta Alfonso Carlini snc - P.I. 00072100902 - Z.I. Predda Niedda Nord, strada n°6
07100 Sassari / Sardegna
Tel.: (+39)079 262452 - fax: (+39)079 260571 - e-mail: info@alfonsocarlini.it