49 (0) 5978 9995-0 Sommer GmbH & Co. KG Venhäuser Weg 11 48477 Hörstel-Dreierwalde Telefon: + Telefax: +49 (0) 5978 9995-195 Order Escort Name of the transport company: Address: Phone: Fax: Transport manager: vehicle (s) co-driver Number of BF 3 pilot car: Number of Co-Driver: Organisation Police escort: Organisation TÜV/Load-certificate: Transport measurements: Length: Width: Height: Low able to: Weight: Transport date: Departure time: Place of departure/ Postcode: Name company/ Street: Place of arrival/ Postcode: Number of trucks: convoy: yes no Name truck driver: Phone no. truck driver: ......................................................... Place, date ..................................................... Stamp, signature : Number of transportation nights: m m m m to