.

 

.

 

 

Exporter

Contact Name

 

Shipper Broker OTI

e-mail

Address

City

Telephone

Fax

StateZip Code)

  Requested Shipping Date:  

Consignee

Tel.

Address

Fax

City

St/ProvPostCode

Country

 

Notify

Address

City

Telephone

e-mail

CFS: Po L


CFS: PoD

Commodity
Schedule B:

 

Value

 

Wgt.

 

kgs | Volumecft

Quantity

 

pcs

Agency, Freight Forwarder, Broker Information

Co. Name
Address
City
State, Zip
e-mail

Door / Pick Up Information

Location

 

Address

Telephone

City

StateZip