GAS / OIL REQUEST FOR PRODUCT
Date
*
/
Month
/
Day
Year
Date
Requested By/ Buyer’s Rep Name
*
Please select the following representation
*
Broker
Mandate
Buyer
Seller
Type Fuel / Oil
*
Please Select
Aviation Kerosene Jet A-1
ULSD
LNG
WTI
BLCO
EN590
PetCoke
Sulphur
Quantity
*
Desired contract duration after successful spot lift: months.
*
Please Select
12
24
36
CIF or FOB Basis
*
CIF
FOB
Port of Loading
Port of Discharge
Target Price
*
Platts Code (or similar index)
Tank Storage Location
Please Provide: Can present TRS upon request
Check here
Inspection Company
*
Please Select
SGS
Intertek
Other
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email Address
*
example@example.com
Website
Contact Person
*
Signature
*
Clear
I attest we have the banking capability to confirm we are RWA via MT799 SWIFT communication.
*
Check here
THANK YOU FOR YOUR INTEREST
Submit
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