U.S. Customs Clearance to be arranged by:
RUTHERFORD GLOBAL LOGISTICSTORONTO MISSISSAUGA NEWMARKET HAMILTON SARNIANIAGARA FALLS FORT ERIE WINDSOR CALGARY COUTTSVANCOUVER RICHMOND PACIFIC HIGHWAY MONTREAL LACOLLE
Export Proforma
1 Exporter:
Sold To:
IRS No.:
INSTRUCTIONS: Please complete and fax to:Toronto: 905-673-2656
Vancouver: 604-273-8610Montreal: 514-636-2294
Ship To:
IRS No.:
2 Reason forShipment: Other:
Sold For Repairs Not According To Order For Processing
3 ShipmentInformation:
Carrier pick/up to be arranged by: Rutherford Exporter/Shipper ConsigneeNo. of Pcs: Weight: lbs. kgs. Dimensions:
4 Description of Goods: as attached as listed belowQty Description - Include serial numbers and HS No. (if known)
Countryof Origin
UnitPrice
TotalPrice Currency
5 ImportInformation:
Good were imported on a: Duty paid B3 E29B 1/60th UnknownImport Entry Number: Date:Drawback or Refund Claim Required: Yes No
6 ExportFreightInformation:
Ship via: Air Courier Truck RailShipping to be arranged by:Ship: Direct Call for Special Instructions
Ocean Other:Rutherford Exporter Consignee
Goods must arrive by:
7 U.S. CustomsClearanceInformation:
Rutherford Exporter ConsigneeName of Exporter or Consignee U.S. Customs Broker:
U.S. Customs Tempoary Import Bond (TIB) required: Yes NoUS Continuous Bond No.
NAFT Certificate of Origin: Attached Blanket on File Not required - foreign goods
8 ExportChargesInformation:
Freight Charges: Prepaid Exporter Collect to ConsigneeU.S. Customs Charges:Canadian Export Charges: Prepaid Exporter Collect to Consignee
Prepaid Exporter Collect to Consignee
9 InsuranceInformation:
Insurance Required: Yes(Note: usual carrier insurance is approx. $2.00 CAD/lb. UPS maximum insurance is $100.00 CAD)
No Amount: $ CAD USD
10ExporterContactInformation:
Exporter Contact Person (please print name):Phone No.:Date:
Fax No.:Signature:
D:20080527090327- 04'00'
D:20080527090327- 04'00'
U.S. Customs Clearance to be arranged by:
RUTHERFORD GLOBAL LOGISTICS
TORONTO MISSISSAUGA NEWMARKET HAMILTON SARNIA
NIAGARA FALLS FORT ERIE WINDSOR CALGARY COUTTS
VANCOUVER RICHMOND PACIFIC HIGHWAY MONTREAL LACOLLE
Export Proforma
1
Exporter:
Sold To:
IRS No.:
INSTRUCTIONS: Please complete and fax to:
Toronto: 905-673-2656
Vancouver: 604-273-8610
Montreal: 514-636-2294
Ship To:
IRS No.:
2
Reason for
Shipment:
Other:
Sold
For Repairs
Not According To Order
For Processing
3
Shipment
Information:
Carrier pick/up to be arranged by:
Rutherford
Exporter/Shipper
Consignee
No. of Pcs:
Weight:
lbs.
kgs.
Dimensions:
4
Description of Goods:
as attached
as listed below
Qty
Description
- Include serial numbers and HS No. (if known)
Country
of Origin
Unit
Price
Total
Price
Currency
5
Import
Information:
Good were imported on a:
Duty paid B3
E29B
1/60th
Unknown
Import Entry Number:
Date:
Drawback or Refund Claim Required:
Yes
No
6
Export
Freight
Information:
Ship via:
Air
Courier
Truck
Rail
Shipping to be arranged by:
Ship:
Direct
Call for Special Instructions
Ocean
Other:
Rutherford
Exporter
Consignee
Goods must arrive by:
7
U.S. Customs
Clearance
Information:
Rutherford
Exporter
Consignee
Name of Exporter or Consignee U.S. Customs Broker:
U.S. Customs Tempoary Import Bond (TIB) required:
Yes
No
US Continuous Bond No.
NAFT Certificate of Origin:
Attached
Blanket on File
Not required - foreign goods
8
Export
Charges
Information:
Freight Charges:
Prepaid Exporter
Collect to Consignee
U.S. Customs Charges:
Canadian Export Charges:
Prepaid Exporter
Collect to Consignee
Prepaid Exporter
Collect to Consignee
9
Insurance
Information:
Insurance Required:
Yes
(Note: usual carrier insurance is approx. $2.00 CAD/lb. UPS maximum insurance is $100.00 CAD)
No
Amount: $
CAD
USD
10
Exporter
Contact
Information:
Exporter Contact Person (please print name):
Phone No.:
Date:
Fax No.:
Signature:
PrintButton1: TextField1: :
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