Importer Security Filing Power Of Attorney - Amberfreight

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IMPORTER SECURITY FILING POWER OF ATTORNEY
IRS/SS#_____________________
KNOW BY ALL MEN BY THESE PRESENTS: That, (1) ______________________________________________________
(Full name of person, partnership, corporation, or sole proprietorship (identity))
______________________________________________________________________________________________________
a corporation doing business under the laws of the State of (2)______________ or a (3)________________________________
doing business as (4)_________________________________ residing at (5)________________________________________
having an office and place of business at (6)__________________________________________________________________
Hereby constitutes and appoints each of the following persons, Amber Freight Shipping Lines and its licensed
officers and employees, specifically authorized to act for said corporation by power of attorney as a true and lawful agent and
attorney of the principal named above with full power and authority to do and perform every lawful act and thing the said agent
and attorney may deem requisite and necessary to be done for the Importer Security Filing requirement as mandated by
Customs and Border Protection, for and on behalf of the said principal without limitation of any kind as fully as said principal
could do if present and acting, and hereby ratify and confirm all that said agent and attorney shall lawfully do or cause to be
done by virtue of these presents until and including (7) _____________ (date), or until notice of revocation in writing is duly
given before that date.
Service and Payment Agreement
Amber Freight Shipping Lines agrees to provide Customer (identified above) with the filing and services related
to the Importer Security Filing as mandated by Customs and Border Protection, subject to the Company’s TERMS AND
CONDITIONS OF SERVICE, which the Customer acknowledges receipt of. Customer agrees to pay the Company for these
services as agreed, in accordance with Amber Freight Shipping Lines’s normal payment terms, and accepts to
comply with these Terms and Conditions of Service.
IN WITNESS THEREOF, the said (8) _______________________________________________________ has caused these
presents to be sealed and signed: (Signature) (9)_____________________________________________________________
(Capacity) (10)_________________________________________________ Date (11)______________________________
Witness (12) ______________________________________ Witness (13) _______________________________________
(Optional)
(Optional)
(14) Corporate Seal

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