Epoxies, Etc... - International Shipment

International Shipment

Thank you for your order! To ensure a timely and accurate delivery of your shipment, please help us by completing this form. This information will also allow us to comply with all international shipping requirements.

1. Bill To Address
Company Name:
Account Number (if known):
Complete Street/PO Box Address:
Bldg, Room, Suite, Floor Number:
City:
State/Province:	Postal Code:
Country:
Contact:
Telephone:	Ext:
Fax:
Email:

2. Ship To Address (if different from above)
Company Name:
Complete Street/PO Box Address:
Bldg, Room, Suite, Floor Number:
City:
State/Province:	Postal Code:
Country:
Contact (Local):
Telephone (Local):	Ext:
Fax (Local):
Email (Local):

3. Specify Carrier, Mode Of Transportation & Method Of Payment:

Would you prefer Epoxies, Etc. to select the best carrier, mode of transportation and method of freight payment?

Yes No (If yes, proceed to section 5)
Specify mode of transportation:

Air Ocean Ground

Specify carrier:

UPS or FedEx International overnight

Freight Forwarder

Company Name:
Contact:
Telephone:	Ext:
Fax:
Email:
Account Number:	(if applicable)

Method of Frieght Payment

Prepay & Add to Invoice

Collect (must provide account number)

Account Number:

Third-Party (must provide account number and billing information)

Account Number:
Company Name:	(third party bill to)
Complete Address:
Contact:
Telephone:	Ext:

4. Duties & Taxes:

Are the responsibilty of the consignee. Other arrangements must be communicated with our office.

5. Insure Goods During Transportation: (Note - freight terms are FOB Cranston, RI USA)

Yes No

6. Customs Broker: (if applicable)

Company Name:
Telephone:	Ext:
Fax:
Email:
Account Number:	(if applicable)

Terms are prepay in advance; funds are to be remitted by wire transfer or credit card.

Would you prefer we prepare a proforma invoice? Yes No

Questions or Comments:



Epoxies, Etc... 21 Starline Way, Cranston, RI 02921 USA Phone: 401-946-5564 Fax: 401-946-5526 Copyright © 2009 Epoxies Etc... IllumaBond and TriggerBond are trademarks of Epoxies, Etc...		1-800-EPOXIES Email: sales@epoxies.com Directions to Epoxies Etc...