Please complete this Ocean Cargo Shipment Information and attach Commercial Invoice or packing list.

SHIPPER'S INFORMATION

Name of Shipper
SS #:
Address:

City

State:

Zip:

Tel.		Fax:
		E-mail:
(Required when total value of shipment exceeds $ 2,500.00)

CONSIGNEE'S INFORMATION

Name of Consignee:
Address overseas:

Tel:

VEHICLE DESCRIPTION:

Vehicle Description:

Year:

Make:

Model:

I.D.(VIN) #:

License Plate #:

State:

DIMENSIONS:
L:		W:		H:		Weight:

VALUE OF SHIPPMENT:

US $:

(Value must be declared to US Customs if over $2,500.00)

MARINE INSURANCE:

Yes

No

SHIPPING INSTRUCTIONS:

I shall deliver the described motor vehicle to terminal at:
or, shall require that above described motor vehicle is picked at the following address:

City:		State:		Zip:
Contact Person:		Tel:		Zip:

Please state where you want documnets to be mailed after shipping:

PORT OF UNLOADING:

Port of unloading:
Forwarding to if required: