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					                                                                  SHIPPER'S LETTER OF INSTRUCTIONS (SLI)
EXPORTER                                                                 EIN NUMBER                                       BOOKING/SHIPMENT NUMBER
                                                                                                                          Master
                                                                         RELATED PARTIES                                  House
                                                                             YES       NO                                 SHIPPER'S REFERENCE NUMBER

ULTIMATE CONSIGNEE                                                       INTERMEDIATE CONSIGNEE                                                   ORIGIN PORT



                                                                                                                                                  ULTIMATE DESTINATION PORT

Contact:                                                                 Contact:
PH/Fax:                                                                  PH/Fax:                                                                  INCOTERM
FORWARDING AGENT                                                         TYPE OF LICENSE                                                               EXW                      CPT
Priority Worldwide Services                                              License No.                                                                   FCA                      CIP
7361 Coca Cola Drive                                                     DDTC No.                                                                      FOB                      DAP
Hanover, MD 21076                                                        SME (Y/N)                                                                     CFR                      DDP
PH: 800.727.1085 FX: 410.766.1264                                        ECCN NO.
DOCUMENTS ENCLOSED                                                       ADDITIONAL DOCUMENTATION REQ.                                            HAZARDOUS               INSURANCE
       Commercial Invoice                                                       Consularize Documents                 Yes                Yes
       Packing List                                                             Legailize Documents                   No                 No
       Certificate of Origin                                                    File AES On Exporter's Behalf
       Letter of Credit                                                         Prepare Certificate of Origin      UN Number         Insurance Value
       Inspection Certificate(s)                                                Lodge License with Customs
       Copy of Export License                                                   Return Copy of Decremented License
       Other:                                                                   Other:                             Commercial Invoice Value
       Other:                                                                   Other:

SPECIAL INSTRUCTIONS OR ADDITIONAL INFORMATION                                                                                                    MODE
                                                                                                                                                       AIR Standard             OCEAN FCL
                                                                                                                                                       AIR Expedited            OCEAN RO/RO
SCHEDULE B INFORMATION                                                                                                                                 OCEAN LCL
       Quanity                      HTS Classification                       Net Weight                                              Description                                Value




Total Pieces:                                    Total Weight:                                                                                    Total Value:
I certify that all statements made and all information contained herein are true and correct and that I have read and understand the
instructions for preparation of this document, set forth in the " Correct Way to fill out a Shipper’s Export Declartion” and I understand              TRACK YOUR SHIPMENTS AT:
that civil and criminal penalties, including forfeiture and sale, may be imposed for making false or fraudulent statements herein, failing to
provide the requested information or for violation of U.S. laws on exportation (13 U.S.C. Sec. 305; 22 U.S.C. Sec. 401; 18 U.S.C. Sec. 1001; 50
U.S.C. App. 2410)                                                                                                                                   www.priorityworldwide.com
                                                                                                                                                  Shipments are subject to inspection by U.S.Customs
SHIPPER NAME                                                             SIGNATURE                                                                Service and/or Office of Export Enforcement and to
                                                                                                                                                                  security screening.
SHIPPER TITLE                                                            DATE
NOTE: The Shipper or its Authorized Agent grants authority to Priority Worldwide Services. In its name and on its behalf, to act as its forwarding agent for export control
and customs purposes, and to prepare, sign, and/or accept any documents relating to this shipment and to forward this shipment in accordance with the terms,
conditions and limitations contained in the contracts of carriage and/or tariffs of any other carriers employed in the transportation of this shipment. The shipper
guarantees payment of all collect charges in the event the consignee refuses payment. Herein under, the sole responsibility of PWS is to use reasonable care in the
selection of carriers, forwarders, agents and others to whom it may entrust the shipment.
SHIPPER'S LETTER OF INSTRUCTIONS (SLI)

				
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posted:11/6/2011
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