Dd Form 2784 - Letter Of Intent (Loi) Household Goods Or Unaccompanied Baggage Page 2

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CARRIER SCAC
18. LIST OF DESIGNATED AGENTS
a.
b.
c.
d.
e.
f.
C S
BOOKING AGENT
AGENT NAME
MAILING ADDRESS
PHYSICAL ADDRESS
TELEPHONE/FAX NUMBER/
(Include ZIP Code)
EMAIL ADDRESS
19. REMARKS
(This section may be used by carrier and/or PPSO)
Reset
DD FORM 2784 (BACK), NOV 2008

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