Export Power of Attorney

AFL Shipping Order
Section 1 * SHIPPER

(Shipper is the person or Company responsible for the shipment. All the information and requirements regarding this transaction will be disclosed to the shipper only unless he/she specifies other specific instructions)
(Fields marked with * are mandatory).
Company Name:
Name*

First NameLast Name
Address: (Must be a U.S. valid address only*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*

Area CodePhone Number
Fax Number:

Area CodePhone Number
Email:*
example@example.com
Tax ID / EIN Number or Foreign Passport Number

*Any Seller / Shipper who lives in the USA is required to provide TAX ID/ EIN Number to US Customs Border protection, if you don’t have one please apply on this website: www.irs.gov *
EIN/TAX ID:*
Please Provide either EIN /TAX ID
FOREIGN PASSPORT Number:*
Or FOREIGN PASSPORT Number

Section 2 * CONSIGNEE

(Consignee is the person or Company receiving the cargo at the port of destination. You can only provide 1 person name and/or 1 company name Ex: John Smith c/o John’s transport LLC. No P.O. Box address allowed ). Please list the consignee exactly the way that you want it to show in your B/L.
Company Name:
Name*

First NameLast Name
Email*
example@example.com
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number

Section 3 * PAYER OF FREIGHT CHARGES

(Payer is the person or company responsible to cover the freight and all charges involved on the shipment of the cargo. If freight collect is required please contact our office as additional charges may apply)
Please Select One:
Payer's Name:*

First NameLast Name
Payer's Email:
example@example.com
Payer's Phone Number:

Area CodePhone Number

Section 5 * ORIGIN AND DESTINATION OF THE CARGO
Port of Loading (Runner):*
Port of Discharge (Runner):*
Port of Loading (Non-Runner):*
Port of Discharge (Non-Runner):*
Port of Loading (Forklift):*
Port of Discharge (Forklift):*
If Port of Loading is not listed, please specify:*
If Port of Discharge is not listed, please specify:*
Do you need us to pick up and deliver to the port of sailing?*

YesNo
Inland Department:
inland@aflship.com
Please consider the following chart when choosing Port of Origin.

Revised: 10/15/2018

Export Power of Attorney
To: U.S. Customs & Border Protection
Re: Exportation of Cargo from the United States

I, the customer, hereby authorize American Forwarding & Logistics LLC (AFL) & their employees:

· To act as my forwarding agent for export control and customs purposes
· To prepare, sign, declare or swear to any Shipper’s Export Declaration required by law or regulations in connection with the exportation of any commodity shipped by me, the customer
· To do all things necessary to ensure compliance with all requirements pursuant to section 19CFR192 of the U.S. Customs regulations: including the use of American Forwarding’s USA Address for shipments, of foreign buyers.
· To act for and on its behalf as a true and lawful agent and authorized agent for export control, U.S. Census Bureau (Census Bureau) reporting, and U.S. Customs and Border Protection (CBP) purposes. Also, to prepare and transmit any Electronic Export Information (EEI) or other documents or records required to be filed by the Census Bureau, CBP, the Bureau of Industry and Security, or any other U.S. Government agency, and perform any other act that may be required by law or regulation in connection with the exportation or transportation of any goods presented.
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EIN Number:
Federal Tax ID Number:
Foreign Passport Number:
Specify Country below:
Specify Country:
This power of attorney is to remain in full force and effect until revocation in writing and received by American Forwarding and Logistics.
Signature of Shipper:*

Clear
Date & Time*
My Business is represented as: (Check the appropriate box)

NVOCCFreight ForwarderIndividual Shipper
FMC Number:
If NVOCC or Freight Forwarder Selected please enter FMC Number
Payment*
Delivery of Bill of Lading*
Should be Empty:

AFL Shipping Order

Section 1 * SHIPPER

(Fields marked with * are mandatory).

Section 2 * CONSIGNEE

Section 3 * PAYER OF FREIGHT CHARGES

Section 4 * CARGO INFORMATION

Section 5 * ORIGIN AND DESTINATION OF THE CARGO

Export Power of Attorney

To: U.S. Customs & Border ProtectionRe: Exportation of Cargo from the United States

To: U.S. Customs & Border Protection
Re: Exportation of Cargo from the United States