PART ONE : SHIPPER / CONSIGNEE INFORMATION
SHIPPER
CONSIGNEE

Name:         

Address:     

City:            

State:         

ZIP:           

Country:     

Telephone: 

Fax:           

Contact:     

E-mail:       

 

Name:     

Address:  

City:         

State:        

ZIP:          

Country:   

Telephone: 

Fax:          

Contact:    

E-mail:      

 

 

PART TWO : CARGO DESCRIPTION

  Commodity Description:

 



  No of Pieces:     Weight: KILOS LBS 

   Volume: CBM  CFT

   Hazardous: Yes  No    UN NO:     Class:
 

 


PART THREE : SHIPMENT INSTRUCTIONS

 
 
Ocean Air 
Door / Door  Door / Port

Port / Door  Port / Port

 
Prepaid  Collect
Insurance Required:  Yes  No

             Value of Cargo ($): 

 
Pick-Up Location
Delivery Location

Company:    

Address:     

City:           

State:         

Zip:            

Country:    

Tel:            

 

Company:    

Address:      

City:            

State:          

Zip:             

Country:    

Tel:            

 

 

PART FOUR : REMARKS

 
Reply to E-mail :