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
2009
Make
Mercedes benz
Model
C300
Type
VIN:
WDDGF54X29R045795
Declared Value for Vehicle $
ITINERARY: TO
Tincan/Lagos NIGERIA
* 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)