Power Of Attorney To Transmit Electronic Export Information Foreign Principal Party In Interest/authorized Agent

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Complete form, click here to print and sign.
VAT number:____________________________
U.S. Census Bureau
POWER OF ATTORNEY TO TRANSMIT ELECTRONIC EXPORT INFORMATION
FOREIGN PRINCIPAL PARTY IN INTEREST/AUTHORIZED AGENT
Know all men by these presents, that
___________________,
(Full Legal Company Name of Foreign Principal Party in Interest (FPPI))
the Foreign Principal Party in Interest (FPPI), organized and doing business under the laws of the State or Country of
_________________ and having an office and place of business at____________________________________________
(Country)
(Address of FPPI)
hereby authorizes Oregon International Air Freight Co dba OIA Global, (Authorized Agent) having its principal
place of business at
River Parkway Ste 800 Portland OR 97201 to act for and on its behalf as a true
2100 SW
and lawful agent and attorney of the Foreign Principal Party in Interest (FPPI) for, and in the name, place, stead
of the FPPI, from this date, in the United States either in writing, electronically, or by other authorized means
to:
act as authorized agent for export control, U.S. Census Bureau (Census Bureau) reporting, and U.S. Customs
and Border Protection (CBP) purposes. Also, to prepare and transmit any Electronic Export Information (EEI)
or other documents or records required to be filed by the Census Bureau, CBP, the Bureau of Industry and
Security, or any other U.S. Government agency, and perform any other act that may be required by law or
regulation in connection with the exportation or transportation of any goods shipped or consigned by or to the
FPPI, and to receive or ship any goods on behalf of the FPPI.
The FPPI hereby certifies that all statements and information contained in the documentation provided, to the
authorized agent and relating to exportation will be true and correct. Furthermore, the FPPI understands that
civil and criminal penalties may be imposed for making false or fraudulent statements or for the violation of any
United States laws or regulations on exportation. However, FPPI understands and acknowledges that
Forwarding Agent will not now, or in the future, make any product classification or license requirement
determinations on behalf of FPPI and Forwarding Agent will not apply for a license or other authorization on
behalf of FPPI.
This power of attorney is to remain in full force and effect until revocation in writing is duly given, by the
Foreign Principal Party in Interest (FPPI) and received by the Authorized Agent.
IN WITNESS WHEREOF ________________________________________________________________
(Full Legal Company Name of FPPI)
Caused these presents to be sealed and signed:
Must be Managing Director, CEO, Vice President or Secretary signature only
Signature:
Date:
_________________________________________
______________________
(Corporate Officer required)
Printed Name:_______________________________
Capacity/Title:
__________________________________
Witness Printed Name:
Signature:
_____________________________
_____________________________________
World Headquarters
2100 SW River Parkway, Ste 800, Portland, OR 97201 USA
1-800-938-3109 | 1-503-736-5900
FMC License No: 3760NF│CHB License No: 13337

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