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SHIPPER OF RECORD:
Name:Transporter:
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Address:
Personal Contact:
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Email:
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Phone:   Fax: Tel.:
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Airport of departure:
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Airport of arrival:
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Final destination:
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IMPORTER/CONSIGNEE: Name:
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Address:
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Phone:   Fax:
Total shipping cost (USD):
To Be Completed by Export Control
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Mode of Transport: ___ Air ___ Marine
____ Hand Carry
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Item
#		HTSQuant.Detailed DescriptionBrand/ModelSerial NumberUsed/NewCountry of OriginCost per Unit (USD)Total Price (USD)Weight per Unit (kg)Total Weight (kg)ECCNReason for Control
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Vessel # 1 (checked bag, box, etc), Dimensions A" x B" x C"
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30
Vessel # 2 (checked bag, box, etc), Dimensions A" x B" x C"
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43
Vessel # 3 (checked bag, box, etc), Dimensions A" x B" x C"
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56
Vessel # 4 (checked bag, box, etc), Dimensions A" x B" x C"
57
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69
Vessel # 5 (checked bag, box, etc), Dimensions A" x B" x C"
70
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82
Total Cost0.00Total Weight0
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100