CUSTOMER INFORMATION: (Invoice to)  
Company: Contact name:
Address:
City & State: Country: Zip Code:
Tel. Fax. Tax ID:
SHIPPER INFORMATION: (Pick up address)
Company: Contact name:
Address:
City & State: Country: Zip Code:
Tel. Fax. Tax ID:
CONSIGNEE INFORMATION: (Consing to/ Deliver to)
Company: Contact name:
Address:
City & State: Country: Zip Code:
Tel. Fax. Tax ID:
NOTIFY:
Company: Contact name:
Address:
City & State: Country: Zip Code:
Tel. Fax.  

 

Import/Export operation: , , Other


Specify
Pick up date
Pick up time
Mode of Carriage:

Specify

 
Please mention number of container required on each field, if LCL mention Q of m3.

 

Container: 20' D.C. 40' D.C. 40' H.Q. LCL Other
Trailer: 28' D.V. 48' D.V. 53' D.V. LTL Other


COMMODITY
Description Package type
No. of packages Volume (m3)
Weight in Kg.
Dimensions in cm. Length: Width: Height:
If package dims are different pls. add a packing list.
INCOTERM
F.O.B. (Mention origin port) C+F (Mention destination port)
CIF (Mention destination port) Other (Specify)
EX-Works (Mention pick up City)
In case there is a letter of credit on this operation, a copy should be sent to To Door.
 
BASIS House/House Pier/Pier  
  House/Pier Pier/House  
Pls. mark what destination charges should be paid by the shipper or by the consignee.
Customs clearence Duties & Taxes
Freight payable at: Destination: Origin:
 
I accept that if I request any charge as prepaid, I must pay the total amount once merchandise and documentation is ready for its transportation, otherwise the operation will stop.
If I mention the shipment as collect , and if this service were available at destination, I promise to pay to To Door de Mexico, S.A. de C.V. all these charges in case that consignee does not claim the goods or deny to pay these charges.
Name and Title e-mail and Date