Fields Marked
*
are required
City:
*
Baltimore
BWI Airport
Norfolk
Washington Dulles Airport
Louisville
Cincinnati
Mode:
Air
Ocean
Truck
Terms:
Prepaid
Collect
Inco Terms:
N/A
EX WORKS
FAS PORT
FOB PORT
CFR
CIF
DDU
DDP
Int'l Payment:
Open Account
Letter of Credit
Direct Collection
(If Letter of Credit, please FAX copy)
Insurance:
Yes
No
Amount:
Pickup Date/Time:
Reference:
Closing Time:
*
Value:
Schedule B#:
License No./Symbol:
ECCN(if reqd):
Pickup:
*
Consignee
:
Port of Discharge:
*
Address if Door Delivery:
Freight Description/ Weight/
Measurements/
HazMat Info:
*
Special Instructions:
Name:
*
Phone:
*
Fax:
*
Email:
*
Contact us at:
exp@jsconnor.com