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SLI Form

Create Shipper's Letter of Instruction

Shipper (Principal Party in Interest)
Name: *
Address1: *
Address2: *
City: *
Country or Territory: *
State/Province: *	(required if US or Canada)
Postal Code: *	(required if US or Canada)
Contact Name:
Contact Telephone: *
E-mail Address:
Export ID No. (EIN):
Parties to Transaction: *
Date Of Exportation: *

Ultimate Consignee
Name: *
Address: *
Address:
City: *
Country or Territory: *
State/Province: *	(required if US or Canada)
Postal Code: *	(required if US or Canada)
Contact Name:
Contact Telephone:

Intermediate Consignee
Name:
Address:
Address:
City:
Country or Territory:
State/Province: *	(required if US or Canada)
Postal Code: *	(required if US or Canada)
Contact Name:
Contact Telephone:

Shipment Information
Payor account number: *
Payment Type: *
All monetary values will be converted to U.S. dollars on submit.
Insurance Amount:
Declared Value:
Country(s) or Territory(s) of Original Manufacture: *	(required if exporting to Canada)
Hazardous Materials: *
Routed Export Transaction: *

Third Party Billing Information
Name:
Address:
Address:
City:
Country or Territory:
State/Province: *	(required if US or Canada)
Postal Code: *	(required if US or Canada)

Shipment References
Shipper's Reference:
Consignee's Reference:

Shipment Instructions
Service: *
Direct and Consolidated Options
	Customs Clearance	Door to Door
	Door to Airport	Airport to Door
Delivery Duties (Free Domicile)
Shipper's Special Instructions

Additional Documents
*Attached Documents*
	Commercial Invoice	Certificate Of Origin	Packing List
	Banking Sight Draft	Export License	Letter Of Credit
	Dangerous Goods Declaration	Import License
*Documents to be Prepare*
	Pro Forma Invoice	Consular Invoice	Certificate Of Origin
	Export License	Insurance Certificate	Banking Sight Draft
	Other:
	Other:

If additional item space is necessary to complete this form, please enter the number below:
Number of additional items:

Freight Description
Unit of Measure: *		If LB/IN is selected, weights and measures will be converted to metric on submit.
Pieces *	Length *	Width *	Height *	Unit Weight *

Customs Description
D/F	Description	HTS Code	Quantity	Value	Currency	USML Code





All monetary values will be converted to U.S. dollars on submit.

ODTC Unit of Measure:
Significant Military Equipment:

Authorization
License No/Symbol/NLR	Enter Number or NLR
ECCN
Authorized Officer or Employee
Title or Name for Signature

Terms and Conditions
I accept UPS Supply Chain Solutions' Terms and Conditions*
Would you like to print a copy of the applicable Shipper's Letter of Instruction Terms and Conditions?




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