Shipper EIN / Tax ID #

    Shipper / Exporter                      

    Reference Number

    Address

    City

    State            Zip

    Phone

    Fax

    Contact Name

    E-mail

    Schedule B Number (if known)

    Commodity Description

    Origin

    Destination

    Routing

    Date of Shipment

No Yes     Insurance Coverage       $     Valuation of Shipment

EXW FCA FAS FOB CFR CIF CPT CIP DAF DES DEQ DDU DDP     Shipping Terms        Chart of Terms

Air Ocean Compare     Shipping Method

No Yes     Hazardous Cargo        Cargo aircraft only Passenger OK     Hazmat Method

        UN Number

Enter the dimensions (in inches) and actual weight of each piece on the form below.    Measurement Converter