CONTACT INFORMATION

Company Name: Click here to enter text.	Full Name: Click or tap here to enter text.

Phone Number: Click or tap here to enter text.	Email: Click or tap here to enter text.

COMMODITY DETAILS

Commodity: Click or tap here to enter text.	Detailed Description: Click or tap here to enter text.

Country of Origin: Click or tap here to enter text.	Does ADD/CVD apply to your commodity?

Classification: Click or tap here to enter text.	Do OGA’s regulate your commodity? (FDA, EPA etc)?

IMPORTER DETAILS

Are you registered with CBP? Choose an item.	Will you be importing or exporting from US? Choose an item.

Do you have a bond on file? Choose an item.	Monthly import volume? Click or tap here to enter text.

Monthly export volume? Click or tap here to enter text.	EIN or Customs Assigned Number: Click or tap here to enter text.

Stored Pallets Per Month: Click or tap here to enter text.	Does your commodity pay duties? Choose an item.

Do you require ISF Filing? Choose an item.	Do any of the following apply: Choose an item.

Any other important details: Click or tap here to enter text.

Thank you for providing information. Your responses will enable us to better understand your Customs Brokerage needs.