Crown International

"Competitive Rates and Service Excellence is Our Commitment"

Call: 1-919-452-3098 / 919-451-6140

E-Mail:
Sales@crown-intl.com

CROWN INTERNATIONAL FORWARDERS
WORLDWIDE SHIPPING - OCEAN
PERSONAL EFFECTS • HOUSEHOLD GOODS • FMC # 3304-R

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Rate Request

Booking Request

Shipper's Letter of Instructions

Shipper's Information

First Name:		If pick-up is requi	red, provide pick-up address below:
Last Name:		Pick-up	address is the same:
Address:		Address:
City:		City:
State:		State:
Zip:		Zip:
Country:		Country:
Telephone:	--	Telephone:	--
E-mail:		E-mail:


Consignee's Information (Receiving Party)

First Name:
Last Name:
Address:
City:
State/Province:
Postal Code:
Country:
Telephone:
E-mail:

Are Shipper and Cosignee related:	Yes No

Cargo Descriptions

What are you Shipping?:
Hazardous Materials:	Yes No
Mode of Shipment:	Air Ocean
Full Container Load (FCL):	20ft container 40ft container 40ft High Cube container
Less Than Container Load (LCL):

Please provide in the space below the number of packages, dimensions per package and approximate total weight. If unknown at this time, please indicate "Will Advise."

Rate From:	Door to Port Door to Door Warehouse to Warehouse
Marine Insurance:	Yes No
Type of Marine Insurance:	All Risk Total Loss

Note: For shipment of household goods/personal effects packed by the owner (PBO), coverage is restricted to total loss of the entire shipping package only. Please select "Total Loss."

Declared Value of your Shipment:

If the value of your shipment is US$2500 or more, please provide an ID Number below.

ID Number:

Terms and Conditions of Service:

The Shipper/Exporter or his authorized agent hereby authorizes the above named company, in his name and on his behalf, to prepare any export documents, to sign and accept any documents relating to said shipment and forward this shipment in accordance with the conditions of carriage and the tariffs of the carriers employed.

The Shipper/Exporter guarantees payment of all collect charges in the event the consignee/receiver refuses payment. Hereunder the sole responsibility of the company is to use reasonable care in selection of carriers, forwarders, agents and others to whom it may entrust the shipment.

In addition, all shipments are handled pursuant to the terms and conditions of service as recommended by the National Customs Brokers and Forwarders Association of America. Copies are available upon request.

I have read and I agree to the above terms and conditions:

Signature:

By printing your name herein, you agree and confirm that your printed name is as good as your signature.

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