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Request a Booking
DF Young strives to serve our clients and provide solutions to whatever transportation and logistics requirements they may have. To begin that process, we need to get some information from you. Please complete the following form that can be automatically emailed to us. For more information, technical support, or to speak with a sales representative, please call us at 1-866-204-5665.

In the very near future, you will be able to book your shipments online with DF Young. Our goal is to offer the best solutions to meet today's logistics needs.

* Required fields

Exporter "U.S. Principal Party In Interest"

*Company Name
*Address
*City
*State
*Zip
*Exporter EIN (IRS) NO.
Parties to Transaction (Optional)
Related Non-related



Consignee "Foreign Principal Party in Interest"

*Company Name
*Address
*City
*State
Zip (Optional)



Intermediate Consignee/ Notify Party

*Company Name
*Address
*City
*State
Zip (Optional)



Shipping Origin/Destination


*Point (State) of Origin or FTZ No.
*Country of Ultimate Destination

Note:

IF YOU ARE UNCERTAIN OF THE SCHEDULE B COMMODITY NO.-DO NOT TYPE IT IN-WE WILL COMPLETE WHEN PROCESSING THE 7525-V.

IF YOU HAVE SHIPPED THIS MATERIAL TO US VIA AN INLAND CARRIER-PLEASE GIVE INLAND CARRIER'S NAME, SHIPPING DATE, AND RECEIPT OR PRO. NO. (IF AVAILABLE). THIS WILL HELP US EXPEDITE YOUR SHIPMENT WITH THE INLAND CARRIER.




Your Shipment


*Shipper's Ref No.
*Date
/ / (MM/DD/YY)
*Ship Via
Air Ocean
Method (Optional)
Consolidate Direct
 
  Commodity 1 Commodity 2
Marks
Nos.
Kind of PKGs
Schedule B Number
Quantity
Weight
lbs kgs
Cubic Meters
*Values (US dollars)



Additional information about your shipment (Optional)



Other Information


Validated License No./ General License Symbol (Optional)
ECCN (When Required)
*Payment
Prepaid Collect
*Dully authorized officer or employee
The exporter authorizes the forwarder named above to act as forwarding agent for export control and customs purposes.
Yes No
C.O.D. Amount (Optional)
US dollars
Special Instructions (Optional)



In case of Inability to delivery

Shipper's instructions in case of inability to deliver consignment as consigned (Optional)
Abandon Return to Shipper


Insurance


*Shipper's Requests Insurance

 
Yes No
US dollars If Shipper requested insurance as provided for at the left hereof, shipment is insured in the amount indicated (recovery is limited to actual loss) in accordance with the provisions as specified in the Carrier's tariffs. Insurance is payable to Shipper unless payee is designed in writing by the shipper.



Authorization

The Shipper of his Authorized Agent hereby authorizes the above named Company, in his name and on his behalf, to prepare any export documents, to sign and accept any documents relating to said shipment and forward this shipment in accordance with the conditions of carriage and the tariffs of the carriers employed. The shipper guarantees payment of all collect charges in the event the consignee refuses payment. Hereunder the sole responsibility of the Company is to use reasonable care in the selection of carriers, forwarders, agents and others to whom it may entrust the shipment.

Yes No



Contact Information

*First Name
*Last Name
Your Title (Optional)
*E-mail
*Phone
Fax (Optional)


 





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