Proforma Invoice Template

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PROFORMA INVOICE
Not being in posession of a commercial seller's or shipper's invoice, I request that you accept the statement of value or the price paid
in the form of an invoice submitted below. (19CFR 141.85)
SHIPPER
Page ____ of ____
Invoice Date:
Ship Date:
File Number:
CONSIGNEE
BILL TO
--- SHIPMENT INFORMATION ---
Customer PO No:
Letter of Credit No:
Mode of Transportation:
PO Date:
Currency:
Transportation Terms:
Ref No:
Payment Terms:
Number of Packages:
AWB/BL No:
Incoterms Desc:
Gross Weight(Kg):
Description
Product No., Harmonized No.
Item No
Quantity
UOM
Unit Price
Total Price
Country of Origin, Serial No.
I declare all information contained on this invoice to be true and correct.
SIGNATURE
TITLE
DATE

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