BILL OF LADING INSTRUCTIONS

SHIPPER
NAME: _________________________________________________________________
ADDRESS: ______________________________________________________________
_______________________________________________________________________
TEL #:__________________________________________________________________
Company EIN or Social Security# ____________________________________________

CONSIGNEE

NAME: __________________________________________________________________
ADDRESS: _______________________________________________________________
________________________________________________________________________
TEL #: __________________________________________________________________
NOTIFY PARTY NAME: _____________________________________________________
(if same as Consignee just mark “same”)

ADDRESS: ________________________________________________________________
________________________________________________________________________
TEL #: ___________________________________________________________________

YEAR / MAKE / MODEL / VIN # (last 6 digits) VALUE WEIGHT
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Please check ONE box:

□ I accept marine insurance
□ I decline marine insurance

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