Instruction For An Export Declaration

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To:
Customs Support Export B.V.
(sent order to one of our Customs Support offi ces)
Tel: +31 10 7988300
Tel: +31 76 59 63 333
Tel: +31 20 40 67 200
Tel: +31 524 525 830
Chamber of Commerce no.:
34076014
INSTRUCTION FOR AN EXPORT DECLARATION
Principal (Opdrachtgever)
Telephone number
Contact person
Reference number Principal
Date
Exporter/VAT-number
EORI number
Name
Address
Place
Country
Name consignee
Address
Place
Country
Country of export
Country of destination
Inland transport by
truck
/
rail
/
barge
/
feeder*
Container nr(s) / LCL*
Location of Goods
* delete as appropriate
Booking ref. Shipping Company
Commodity description
Harmonised code
Number and kind of packages
All services of the companies of the Customs Support group are provided subject to the general terms and conditions of Customs Support as well as the Dutch
Forwarding Conditions of the Fenex, deposited a.o. at the registry of the court of Rotterdam on 1 July 2004, latest edition, with exception of the sections 1 and
23. The conditions contain exclusions and limitations of liability and a choice of law and jurisdiction clause ( ).
Customs Support Holland BV
01/02
V 5.1

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