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Shippers Letter of Instruction

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Please complete all questions except for (optional). Thank you.

Date:                          

Name:                          

Address:                       

Address1:                      

City:                          

State:                         

Zip Code:                      

Exporters EIN No:              

Ultimate Consignee:            

Intermediate Consignee:        

Forwarding Agent:              

Loading Pier (Optional):       

Mode of Transport (Optional):  

Exporting Carrier (Optional):  

Port of Export (Optional):     

Port of Unloading (Optional):

Parties to the Transaction:

Related
Non-Related
Multiple items may be chosen.

Insurance:

No
Yes
Multiple items may be chosen.

Payment Methods:

Prepaid
Collect_COD
Multiple items may be chosen.

Send Shipment Via:

Ocean
Air
Consolidate
Direct
Truck
Multiple items may be chosen.

Shipper's Instruction if unable to deliver consignment:

Return to Shipper
Abandon
Multiple items may be chosen.

Forward to Global Transport Specialists:

No
Your Truck
Other
Multiple items may be chosen.

Other Truck Line Name:         

Receipt (PRO) Number:          

Declared Value for Carriage:

Containerized:

Yes
No
Multiple items may be chosen.

Shippers Ref No:
SCHEDULE B DESCRIPTION OF COMMODITIES

D/F --- Schedule B Number ------ Quantity -- Shipping Weight -- Value US Dollars


Authentication:                

Authorized Employee:           

Title of Auth Employee:        

ECCN:                          

Validated License No:

Export Shipments are subject to inspection by US Customs Service, Office of Export Enforcement and other foreign authorities.

The exporter authorizes the forwarder named above to act as forwarding agent for export control , customs and all other forwarding responsibilities.

I certify that all statements made and all information contained herein are true and correct and that I have read GTS terms and conditions. I understand that civil and criminal penalties, including forfeiture and sale, may be a result of making false or fraudulent statements herein, failing to provide the requested information or for violation of US laws on exportation.

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