LETTER OF INSTRUCTIONS
Shipper/Exporter

Name:
Address:
City/State/ZIP:
Tel:
Fax:
Contact:
EIN No.

 

Ultimate Consignee:

Name:
Address:
City/State/ZIP:
Tel:
Fax:
Contact:

 Document:Date:

Export References:

 

 

 

Insurance: Yes_____ No_____

Insurance Value (USD):___________

 

Intermediate Consignee
                     (Customs Broker/Bank/Etc):_____________
Harmonized Code
No.		 Quantity and Description of the
Goods:		 Declared
Value:
Pick up Location:
 Goods Available Date:

Company Name:		 Special Instruction
(Marks and Numbers/Packing):

Street Address:

City/State/ZIP:

Contact:

Tel: 		Fax:

160 William F. McClellan Hwy * East Boston, MA 02128 * 617-567-6300*FAX 617-567-6319
E-mail: contact@freigtsstar.com