Client Name / Importer Name
*
Please provide legal Company Name / Importer of Record Name.
Importer Primary Contact
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First Name
Last Name
Importer Primary Contact Email
*
example@example.com
Have they imported before?
*
Please Select
Yes
No
Can they produce a sample entry in order to have visibility to what the data looks like?
*
Please Select
Yes
No
How many shipments per year will they import? What is the breakdown by mode of transportation?
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Do they have a Customs database by SKU or Part Number?
*
Please Select
Yes
No
What products are they importing? Please list.
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Are there any PGA requirements? FDA etc.?
*
Please Select
Yes
No
Do they have a Customs Bond?
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Please Select
Yes
No
Please provide their Customs Bond #
*
Any Rulings?
*
Please Select
Yes
No
Please list these ruling below.
Please provide their ACH payment information.
*
Please upload any FTA(s) below.
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Please provide any other additional information that we need to know about the importer/your client.
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