Prime International Shipping LLC

Application Form

Application
Vehicle 1#
Year*
Make*
Model
VIN*
Value* $
I wish to insure this shipment.
Do you need us to pickup your vehicle from anywhere in the United States?
Vehicle 2#
Year*
Make*
Model
VIN*
Value* $
I wish to insure this shipment.
Do you need us to pickup your vehicle from anywhere in the United States?
Vehicle 3#
Year*
Make*
Model
VIN*
Value* $
I wish to insure this shipment.
Do you need us to pickup your vehicle from anywhere in the United States?
Vehicle 4#
Year*
Make*
Model
VIN*
Value* $
I wish to insure this shipment.
Do you need us to pickup your vehicle from anywhere in the United States?
Vehicle 5#
Year*
Make*
Model
VIN*
Value* $
I wish to insure this shipment.
Do you need us to pickup your vehicle from anywhere in the United States?
Vehicle 6#
Year*
Make*
Model
VIN*
Value* $
I wish to insure this shipment.
Do you need us to pickup your vehicle from anywhere in the United States?
HOLD HARMLESS FORM
I HAVE BEEN ADVISED OF THE AVAILABILITY OF ADDITIONAL INSURANCE. I DO NOT WANT TO PURCHASE THIS INSURANCE. IF THERE IS NO INSURANCE PURCHASED,I UNDERSTAND THAT MY RECOVERY WILL BE LIMITED IN THE EVENT LOSS.

DESTINATION PORT:

Port: *

SHIPPER:

The Shipper is the current owner of the vehicle and is the person organizing shipping with us.

EIN Number*
Company Name
First Name *
Last Name *
Address *
 
City *
State (US only)
Province
Country *
Zip *
E-mail *
Phone *

CONSIGNEE:

The Consignee is the person receiving the vehicle overseas. It may be your appointed agent.

First Name *
Last Name *
Address *
 
City *
State (US only)
Province
Country *
Zip
Phone *

SEND TITLE / BOL TO: (FEDEX FEE WILL BE ADDED)

If shipping to an appointed agent of West Coast Shipping, please select "LOCAL PICKUP - FREE" as we will mail the title to the agent, and you can pickup the vehicle and the title from them.

Documents Delivery Method *

AGENT:


Agent *
First Name *
Last Name *
Address *
 
City *
State (US only)
Province
Country *
Zip
Phone *

COMMENTS


SHIPPING TERMS AND CONDITIONS
AND
POWER OF ATTORNEY FOR PREPARATION OF EXPORT DOCUMENTATION

By submitting this form I affirm that I am the owner of the cargo being shipped or I have been granted a power of attorney to act on the owners behalf.
I have read and agreed to all terms and conditions of service attached to this form and authorize Prime International Shipping LLC to proceed with shipment and act as my freight forwarding agent.
Merchants are fully responsible for any direct or indirect damages (including duties, fines, and or penalties and/or any other related cost/ consequence) to the carrier, shipowners, their employees, agents resulting from any missing/wrong/incorrect/incomplete declaration regarding the measures (heights, width, weight, etc) of the cargo, providing if necessary information regarding characteristics of the cargo which may require special attention to be given.
The shippers may provide instructions for the safe and proper stowage and securing of the cargo and for more complicated shipments, particularly those for large, heavy items, project cargo, a detailed transport manual or method of statement should be provided including the location of lashing points.
I read, agree & accept the clauses above
I HAVE READ AND AGREE WITH ALL OF THE ABOVE.
Prime International Shipping LLC © Developed by Orspra