SHIPPING INSTRUCTIONS FOR AUTOMOBILE

BILL TO:

THIRD PARTY:

.

NAME OF SHIPPER:

NAME OF SHIPPER

Address:

Address:

Phone:

Phone

Phone:

Email:

NAME OF CONSIGNEE:

NAME OF SHIPPER

Address:

Address

Phone:

Phone

Phone:

Email:

Vehicle :

Year

2016

Make

Ford

Model

Escape

Type

VIN:

1FMCU9G94GUC59499

Declared Value for Vehicle $

ITINERARY:   TO   

Odessa UKRAINE

* All Risk Insurance    1.25%**  

 ***Total Loss Insurance 0.65%     

 (Coverage only in the event if the ship sinks)

*DEDUCTIBLE FOR ALL RISK CARGO INSURANCE IS USD 500.00 

** 1.25% only applies to Europe and the Black Sea (ask for a quote to other destinations) 

*** NO DEDUCTIBLE

Insurance Type:

Additional charges: 

Amount of Insurance:$

Please note that this is a Cargo Insurance and your coverage begins after the container is delivered to the port

 

                          CONTENTS INSIDE OF THE CAR:    

PLEASE NOTE THAT WE DO NOT ACCEPT  DANGEROUS AND HAZARDOUS CARGOES,

 (IF YES, PLEASE PROVIDE THE INVOICE)        

*RELEASE FORM

This is to acknowledge that if I  ________________do not insure my vehicle that is being shipped overseas through my agent, the amount of liability for loss and damage to the vehicle is limited up to $50.00, unless additional fee (insurance) is paid when vehicle first delivered and accepted. I release my agent from any all liability resulting from the loss or damage that may occur to my vehicle during the transportation.

I certify that all statements made and all information contained herein is true and correct

Signature (Подпись)                                  

 

  *NOTIFICATION

This is to acknowledge that I                                               am advised of the fact that all transit containers are subject to examination by US Customs and Foreign Customs as well. The examination could result in full unloading/discharging of the container in order to determine any undeclared cargo. I am aware that any occurred charges will be my responsibility. 

 

Signature (Подпись)                       

Volkswagen

Volkswagen

Volkswagen

Volkswagen