Docked Ship

BOOKING REQUEST FORM

Cargo - regular cargo, Full Container Load, Less than Container Load, etc.

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* indicates required fields.

I. GENERAL
Person Requesting Export: *person requesting shipping.Enter the name of the person requesting the export shipping.
Date and Time of Pick Up or Delivery: *date & timeEnter the date & time you want the container delivered or the date you like to deliver your cargo to the terminal.
E-mail Address: *your e-mail address..Please enter your e-mail address.
II. SHIPPER INformATION
Name: *shipper of recordEnter the name of the sender (shipper of record) or name of pick up location.
Address: *address information.Complete all address information including ZIP (postal) code and country .
City, State & Postal Code: *address information.Complete all address information including ZIP (postal) code and country .
Tel. Number: *telephone and fax numbersEnter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.
Fax. Number:telephone and fax numbersEnter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.
III. CONSIGNEE INFORMATION
Name: *name of the recipient.Enter the name of the recipient or contact person (consignee) at destination.
Address: *address information.Complete all address information including ZIP (postal) code and country .
City, State & Postal Code: *address informationComplete all address information including ZIP (postal) code and country .
Tel. Number: *phone and fax numbersEnter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.
Fax. Number:phone and fax numbersEnter complete telephone and fax numbers including country area codes. To prevent delivery delays, the consignee's telephone number must be included.
IV. Cargo INFORMATION
Type of Cargo: *type of cargoEnter the type of cargo/commodity. For example, personal effects, marine parts, etc.
Measurements, Container Size: *Cargo DimensionsEnter the cargo dimensions.
Cargo Weight: *Cargo WeightEnter the weight of the cargo.
Special Instructions:Special Instructions.You may enter Special Instructions. For example: condition of cargo, hazardous information, etc.
V. LOADING / DESTINATION INFORMATION
Port of Loading / Loading Warehouse: *terminal cargo will be shipped from.Enter the terminal where your cargo will be shipped from.
Port of Destination / Destination Warehouse: *cargo destinationEnter the destination where your cargo will be shipped to.
VI. MARINE INSURANCE
Do You Require Marine Insurance: * yes no     cargo value in US$ select yes or noPlease select yes or no.
1. If not previously quoted please call our office for insurance rates.
2. If you choose NO, there will be no coverage! Please see Article No. IX below.
3. IMPORTANT: Please use the cargo value at destination to determine the correct value. Enter the cargo value in US$.
VII. CHARGES
Freight Charges Payable: * Prepaid Collect (collection fee will apply)prepaid or collectPlease select prepaid or collect.
1. Prepaid: Shipper pays all shipping charges, consignee (recipient) pays destination charges.
2. Collect: Consignee (recipient) pays shipping charges, destination charges and a collection fee.
3. Collect shipments are accepted to the following destinations: Germany; Sweden; Norway (call for more details).
Mode of Payment: *Bank Wire Check Cash no credit cardspayment methodPlease select your payment method.
1. Bank wire in US funds.
2. Checks, incl. company checks, personal checks, official bank checks or travelers checks.
3. Cash in US funds only.
4. Sorry, NO credit cards are accepted.
VIII. STATUTORY DECLARATION
I certify that this shipment does not contain any explosives, weapons, drugs, hazardous material or products banned for exportation without license by the U.S. Government. I consent to a search, if required by the U.S. Customs Service, U.S. Coast Guard, etc. All costs are at the expense of shipper / consignee. *
I agree I don't agree
IX. MARINE INSURANCE
All insurance claims must be made within 48 hours of cargo release. Insurance claims must be made to the insurance agent at destination. Please note that there are deductibles on certain cargo or destinations. Please ask your booking office for details. I understand that by waiving marine insurance, Worldwide Shipping Agency or any of its agents or vendors can not be held liable for cargo damages, theft or loss. *
I agree I don't agree
X. PERSONAL EFFECTS OR OTHER SEPARATE ITEMS
No items such as personal effects, parts or other items are allowed inside vehicles unless vehicles are containerized for export and items are listed on a separate packing list provided to us prior shipping. By adding such items I do this on my own risk. I understand that Worldwide Shipping Agency, or any of its agents or vendors can not be held liable for such items and vehicles may be held containing such items till the items are removed. *
I agree I don't agree
XI. DESTINATION CHARGES
Any charges at destination such as port fees, services charges, duties and taxes are additional and are on the shipper / consignee expense. An indication of destination charges can be made upon request by Worldwide Shipping Agency or its agents. *
I agree I don't agree
XIII. FREIGHT CHARGES
Prepaid charges must be paid prior cargo being loaded on board of intended vessel. Further, any freight charges not paid at least 3 days prior vessel arrival may delay cargo release which may add additional charges such as demurrage, storage or other to the shipper / consignee expense. Freight charges payable at destination (freight Collect) are subject to collection fees. Please note that local (Florida) checks may take at least 2 days, out of state checks at least 5 days and wire transfer up to 3 weeks (depending on wire transfer type) to clear. *
I agree I don't agree
AGREEMENT
I have read and agree to the conditions and are bound by the terms of this agreement. I am aware that this declaration along with other relevant shipping documents will be retained on file as required by law.
I am aware that this declaration along with other relevant shipping documents will be retained on file as required by law.