Sefco Export Management Company, Inc.
Shipper's Letter of Instructions for Automobiles, Motorcycles or Boats

Date:*
 
Quote Number:
(XXXX-XXXXX)
 

Shipper:

Name:*
 
 Phone #:*
 
Address:*
 
 Fax #:
 
City:*
 
 Mobile #:
 
State:*
 
 Zip:*
 
Email:*
 

Please complete one of the following lines:*
Company EIN:
 
Social Security No.:
 
Foreign Passport No.:
 
 Country:
 

Consignee Overseas:

Name:*
 
 Phone #:*
 
Address:*
 
 Fax #:
 
 
 Mobile #:
 
City:*
 
 Email:*
 
Postal Code:*
 
Country:*
 

Vehicle Information

Vehicle 1:
Year:
 
 Make:
 
Model:
 
Vehicle I.D. Number:
 
Is the vehicle operable?
 
Yes     
 
No     
Vehicle 2:
Year:
 
 Make:
 
Model:
 
Vehicle I.D. Number:
 
Is the vehicle operable?
 
Yes     
 
No     
Vehicle 3:
Year:
 
 Make:
 
Model:
 
Vehicle I.D. Number:
 
Is the vehicle operable?
 
Yes     
 
No     
Vehicle 4:
Year:
 
 Make:
 
Model:
 
Vehicle I.D. Number:
 
Is the vehicle operable?
 
Yes     
 
No     

Collection Information:

Please complete this section ONLY if you are requesting Sefco Export Management Company, Inc. to arrange pick-up of your commodity.
Name:
 
Address:
 
City:
 
State:
 
 Zip:
 
Phone #:
 

Requested collection date:

Month:
 
   Day:
 
   Year:
 

When would you like to ship your commodity?

Month:
 
   Day:
 
   Year:
 

Port of Loading:*
 
Port of Arrival:*
 
Place of Delivery:
(Optional service with additional cost)
 
Marine Cargo Insurance?*
 
Yes    
 
No    
Value to be Insured:
 
Value for U.S. Customs Purposes:
(if different than above)
 

Signature of Shipper or Shipper's Agent
Sefco Export Management Company, Inc.
1 Ascan Avenue, Suite PH-74      Forest Hills, NY 11375
Tel (718) 268-6233 or (914) 293-7109      Fax: (718) 732-2863
Email: info@sefco-export.com