510-290-0028
REQUEST FORM
Please fill out all fields to request shipping
1. Name of Sender :
The last person on the tittle is the sender
Full Address in U.S :
City :
State :
Zip :
Tel :
Email Address :
Fax:
2. Name of Consignee :
Address of overseas person receiving the auto :
3. Name of Person/Firm in U.S. acting for sending :
WHERE YOU WANT THE BL SENT TO :
4. Vehicle Description :
Year :
Make :
Model :
Body Type :
Vin # :
5. Vehicle Value :
6. Insurance :
Yes
No
INSURANCE IS 1.65% OF THE VALE OF VEHICLE $85.00 MIN
7. I will require lowing :
Yes
No
If Yes, Location and Contact Pickup :
8. Port of Origin :
Destination :
9. Documents Required : Proof of ownership-Original title, If enholder is recorded on the title,
1 Original Lien released.
REQUEST FORM
