BTX Salt Lake City Transportation Logistics Solutions
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Shippers Letter of Instruction


SHIPPER INFO


Name       Phone 
Address  Fax     
City          State     Zip  
Corporate  EIN #   
Personal SS# or Passport #

CONSIGNEE (Party receiving cargo at destination)

Name      Phone
Address  Fax    
City          State    Zip  

NOTIFY PARTY (Customs Broker or Consignee)


Name      Phone
Address  Fax     
City          State     Zip  

Commodity     Value   

Vehicle   Year Make Model
Vin#  (title must be faxed to our office)
Pickup Address 
Contact Person   Phone
Marine Cargo Insurance  Yes    No    Value    

Freight          Collect    Prepaid  (select one)

Port of Loading        
Port of Destination

Date