MIDAS MOVERS INTERNATIONAL EXPRESS SHHIPPING _ FREIGHT 14300

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					                          MIDAS MOVERS
                          INTERNATIONAL EXPRESS SHHIPPING & FREIGHT
                          14300 Cherry Lane Ct., Suite 103, Laurel, MD 20707
                          Tel: 301-317-0512 Fax: 301-617-8576



                                 APPLICATION FOR AIR SHIPMENT
I CERTIFY THAT THIS SHIPMENT DOES NOT CONTAIN ANY UNAUTHORIZED/ILLEGAL ITEMS OR HARZADOUS/EXPLOSIVE
MATERIALS AND I CONSENT TO A SEARCH OF MY SHIPMENT. I AM AWARE THAT THIS ENDORSEMENT AND MY ORIGINAL
SIGNATURE, ALONG WITH OTHER SHIPPING DOCUMENTS, WILL BE RETAINED ON FILE FOR 30 DAYS.

I AGREE TO PAY ALL CHARGES BELOW AND DO VOLUNTARILY WAIVE ALL MY RIGHTS TO CHALLENGE THE CHARGES, IN ANY
WAY AND FOR ANY REASON, OTHER THAN CANCELLATION OF THE TRANSACTION WITHIN PERMISSIBLE CANCELLATION
TERMS.

I UNDERSTAND MIDAS MOVERS IS AN INTERNATIONAL FREIGHT FORWARDER OPERATING UNDER THE WARSAW
CONVENTION 1992 (LAWS PERTAINING TO CARRIAGE OF GOODS) AND I UNDERSTAND THAT NEITHER; DAMAGE, NON-
DELIVERY, OR LATE DELIVER ARE GROUNDS FOR NON-PAYMENT OF ANY FREIGHT OR RELATED COSTS. CLAIMS MUST BE
MADE THROUGH APPROPRIATE CHANNELS. FULL PAYMENT FOR SERVICES MUST BE MAINTAINED.



SHIPPER’S FULL NAME:

COMPANY NAME (if applicable):

ADDRESS:

TEL #:                                  FAX:                       EMAIL:

NAME OF CONSIGNEE:

ADDRESS OF CONSIGNEE:

FINAL DESTINATION:

TEL #:                                  FAX:                       EMAIL:

NATURE OF GOODS/CARGO:

NO. OF PIECES:                          GROSS WT. (LB):                     GROSS WT. (KG)

VALUE OF SHIPMENT: $                    CHARGEABLE WT. (LB):                CHARGEABLE WT. (KG):



DIMENSION:                              TOTAL CHARGES:




____________________________                                       ______________________
Shipper’s Signature                                                Date
LAGOS OFFICE ADDRESS                                               LONDON OFFICE ADDRESS
Priority Express                                                   Freight Afrique
15, Toyin Street, Ikeja, Lagos                                     Unit 10, Feltham Business Complex
Contact: Mrs. Udosen or Dele                                       Browells Lane, Middlesex TW13 7LW
                                                                   Contact: Babs Adenekan
                         MIDAS MOVERS
                         INTERNATIONAL EXPRESS SHHIPPING & FREIGHT
                         14300 Cherry Lane Ct., Suite 103, Laurel, MD 20707
                         Tel: 301-317-0512 Fax: 301-617-8576



                     Aviation Security Known Shipper Re-Verification


Date of physical visit: Month                  Day                   Year 20
Name of business visited:
Also doing business as:
Name of person contacted:
Title:
Account number:
Contract number:
How long in business?
Address information
Physical                                              Mailing (if different than physical address)
Address 1:                                            Address 1:
Address 2:                                            Address 2:
City:                                                 City:
State/Prov:                                           State/Prov.
Postal code:                                          Postal code:
Country:                                              Country:
Contact information
Physical location phone #:
Principal contact phone #:
Emergency phone #:
Facsimile #:
E-mail address:
Web address:
Verifier’s information
Person verifying above information:
                                Title:
Air Carrier of Indirect Air Carrier:
                        Phone #:
                        E-mail:
This is to certify that the above information has been verified in accordance with TSA guidelines.
Signature of verifier:
Signature of shipper:
WARNING: THIS DOCUMENT CONTAINS SENSITIVE SECURITY INFORMATION THAT IS CONTROLLED UNDER THE PROVISION
OF 49 CFR PART 1520. NO PART OF THIS DOCUMENT MAY BE RELEASED WITHOUT THE WRITTEN PERMISSION OF THE UNDER
SECRETARY OF TRANSPORTATION FOR SECURITY, WASHINGTON, DC 20591. UNAUTHORIZED RELEASE MAY RESULT IN CIVIL
PENALTY OR OTHER ACTION. FOR U.S. GOVERNMENT AGENCIES, PUBLIC AVAILABILITY TO BE DETERMINED UNDER 5 U.S.C.
552



                                                                                                        2
                            MIDAS MOVERS
                            INTERNATIONAL EXPRESS SHHIPPING & FREIGHT
                            14300 Cherry Lane Ct., Suite 103, Laurel, MD 20707
                            Tel: 301-317-0512 Fax: 301-617-8576



                                            SHIPPER RECORD
Re:      Transportation Security Administration (TSA) Export Requirements
         Code of Federal regulations (CFR) Title 49 Part 1548
         Indirect Air carrier Standard Security Program change 3, 09 Sept. 99

The new FAA Regulations require that we secure the information requested below and a signed shipping
contract, to establish your company as a “known shipper”. The Shipper’s Security Endorsement has also been
revised, if you require, we would be glad providing you with a copy. Once established as a KNOWN
SHIPPER, by completing the form below, a security endorsement is no longer required.

Please complete the items below, sign and return by fax to: 301-617-8576

 Shipper’s/Company Name                                         Date


 Signature of Shipper or Authorized
 representative

 Print/Type Name of Individual whose signature
 appears s Shipper or Authorized representative

 Type of first personal identification reviewed

 Matching photo on ID? Indicate                                 Yes                        No

 Number appearing on ID

 Type of second personal identification reviewed
 (if the first was not a government issued photo
 ID)

 Matching photo on ID? Indicate                                 Yes                        No

 Number appearing on ID

 Name of person from whom shipment was
 accepted if different from the shipper
“I certify that this cargo does not contain any unauthorized explosives, incendiaries, or hazardous materials. I consent to a
search of this cargo. I am aware that this endorsement and original signature, along with other shipping documents, will
be retained on file for at least thirty days.”




--------------------------------------------                            -------------------------------------------
For and on behalf of the Shipper                                        For and on behalf of Midas Movers

                                                                                                                           3
                          MIDAS MOVERS
                          INTERNATIONAL EXPRESS SHHIPPING & FREIGHT
                          14300 Cherry Lane Ct., Suite 103, Laurel, MD 20707
                          Tel: 301-317-0512 Fax: 301-617-8576




                                        SHIPPER CONTRACT

Midas Movers has been designated to act as the above company/or individual forwarding agent for
export control and customs purposes. As an authorized party of the above referenced company, I
agree to utilize the services of Midas Movers by Choice or as dictated by the terms of sale to our
mutual customers, to act in the aforementioned capacity, under the conditions set forth by IATA.

This is to certify that I, …………………………………………………………………………… agree
to enter into contract with Midas Movers to ship at least 3 consignment through Midas Mover to
enable Midas Movers certify me as a known shipper.




------------------------------------------                      --------------------------------------------
For and on behalf of the Shipper                                For and on behalf of Midas Movers




                                                                                                               4
                           MIDAS MOVERS
                           INTERNATIONAL EXPRESS SHHIPPING & FREIGHT
                           14300 Cherry Lane Ct., Suite 103, Laurel, MD 20707
                           Tel: 301-317-0512 Fax: 301-617-8576




                           SHIPPING TERMS AND CONDITIONS

BY SIGNING THIS FORM, MIDAS MOVERS IS HEREBY NOT LIABE TO THE
FOLLOWING SHIPMENT:

1.       HARZADOUS ITEMS (COLOGNE, PERFUME, AND OTHER ITEMS THAT FALL
         WITHIN THIS GROUP)

2.       ALL BANNED ITEMS TO NIGERIA

PLEASE NOTE THAT AS YOUR SHIPPER, WE WILL                                DO OUR UTMOST BEST THAT
YOUR AIR PACKAGE ARE WELL PROTECTED AND                                  DELIVERED BUT WE DO NOT
HAVE 100% GUARANTEE OVER ANY LEGAL                                       DECISION, TAKEN BY ANY
GOVERNMENT AUTHORITY. WE SHALL NOT BE                                     HELD LIABLE FOR EITHER
MONETARY WORTH OR ACTUAL ITEM REFUND.




-------------------------------------------------                ----------------------------------------
MIDAS MOVERS REPRESENTATIVE                                      DATE




-----------------------------------------------------            ----------------------------------------
CLIENT                                                           DATE




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