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  Shipper's Letter of Instructions
 
  Fields Marked * are required    
Mode : Air Ocean Truck    
Terms : Prepaid Collect    
Inco Terms :    
Int'l Payment : (If Letter of Credit, please FAX copy)
Insurance : No Yes Amount :
Reference :    
Pickup Date/Time : Closing Time : *
Schedule B# : Value :
License No./Symbol : ECCN(if reqd) :

Pickup : *
   

Consignee :
   
Port of Discharge :    

Address if Door Delivery :
   
Freight Description/ Weight/ Measurements/ HazMat Info : * HazMat? : No Yes

Special Instructions :
   
Name : * Phone : *
E-Mail : * Fax : *
       
   
   


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