Shipper'S Letter Of Instruction - Amerijet printable pdf download

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Shipper’s Letter of Instruction

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Shipper - Person or Company Tendering Freight

Name:

Account #:

Phone:

Complete Address:

Email:

Airport of Departure:

Consignee - Person or Company Receiving Freight

Name:

Account #:

Phone:

Complete Address:

Email:

Airport of Destination:

Freight Service - The Shipment(s) will be transported/billed based on the “Freight Service” selected below.

Express Air Service (GCX)

Regular Air Service(GEN)

Small Package Service(SPS)

Barrel

Rush Expedited (RXS) /MIA Only

To Door Delivery

Bonded Trucking

Ocean Freight Service

To-Door Deliveries: The shipper is required to provide all permits/licenses/visa’s, a commercial invoice with actual values and shippers Tax I.D. Number at the

time of tendering the shipment to Amerijet, prior to export. Amerijet is not responsible for any transportation, customs or delivery delays and/or any additional

charges due to incomplete, incorrect or missing documentation or if the shipment is not in proper condition for transportation according to the applicable regula-

tions. Refer to for country restrictions.

Payment Information - How are you paying for the freight charges? (Please check one only)

Check

Credit Card

Freight Prepaid

Freight Collect

On Account, Acct #_____________

Would you like to insure this shipment:

Yes_____ If Yes, Amount for insurance: $________

No____ If denied, Initial here: _______

Declared value for Customs: $___________

Do you have a Quote Number, AirwayBill Number, PRO Number, Ocean Booking Number or Reservation Number? Yes____ No___

Please list your number: _______________________________________________

Are you consolidating this shipment with other freight you have already at Amerijet (this location)? Yes____ No___

Description of the Freight

Measurement: in__ cm__

Weight:

Quantity

Brief Description

lb__ kg__

Length

Width

Height

Total:

* If more space for Dimensions is needed, please use the back of the paper. (

Dimensions are subject to Amerijet verification.)

Refrigeration Required? Yes___ No___

Do you have a commercial invoice? Yes____ No____

Is the freight Hazardous Material? (Example – Paint, Hair Spray, Nail Polish)?

Yes____ No____

Does this shipment contain Pharmaceuticals? Yes____ No _____ If Yes, Invoice Value: $________

By signing this form I/we hereby consent to screening this shipment as per Transportation Security Administration (TSA) requirements.

Special Instructions:

PLEASE FILL OUT THIS FORM COMPLETELY!

Rule 110(H): Shipments, the contents of which are liable to deteriorate or perish due to change in the climate, temperature, altitude or other ordinary exposure,

or because of length of time in transit, will be accepted without responsibility on the part of carrier for loss or damage due to such deterioration or perishability.

I/We are hereby certifying that this shipment does not contain Samsung Galaxy Note 7 cellphone. Amerijet is not liable for any losses, damages or

seizures of these devices. The shipper will be responsible for any damages and/or liabilities arising from the failure to declare the full content of the

shipment(s).

________________________________________

___________________________________

________________

Signature Required

Print Name

Date

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