Shipper's Letter of Instruction Page 1 of 1 Freight Forwarder Ultimate Consignee Id Number Exporter Phone Exporter Fax Exporter Officer Ship Via Date Intermediate Consignee Exporter Containerized Yes No Marks and Numbers No. of Pkgs Description Net W eight Measurements Inland Freight Costs: $0.00 $0.00 YES, I would like a quote on Ocean/Air Costs: $0.00 $0.00 these charges. Incoterm: Location: YES, Please adjust Invoice with Handling Fees: $0.00 $0.00 these charges. Insurance Costs: $0.00 $0.00 Consular Fees: $0.00 $0.00 Please respond with these costs by: Additional Charges: $0.00 $0.00 Fax Phone E-Mail Quote Y/N Adjustment How do you want Prepaid Collect Do you require insurance? the freight billed? Special Instructions Yes No Shipping Details: Consolidate Direct Type of Insurance: These documents are attached to this Shipper's Letter of Instruction: License Number/Symbol: Invoice P-List Overland-BL NAFTA C of O Attachment Forward Documents To: SED Draft Shipper's Other-see special instruction Endorsment The Shipper or his Authorized Agent hereby authorizes the above named Company, in his name and on his behalf, to prepare any export documents, to sign and accept any documents relating to said shipment and forward this shipment in accordance with the conditions of carriage and the tariffs of the carriers employed. Hereunder the sole responsibility of the Company is to use reasonable care in the selection of carriers, forwarders, agents and others to whom it may entrust the shipment. Title: Signature: This document created using Shipping Solutions Professional export software, www.shipsolutions.com.
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