Household Item Export Agreement

Household Item Export Agreement
Complete this form to formalize the export of household items, including shipment and agreement details.
Exporter Full Name
First NameLast Name
Exporter Contact Email
example@example.com
Exporter Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Importer Full Name
First NameLast Name
Importer Contact Email
example@example.com
Importer Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
List of Household Items for Export
Total Estimated Value of All Items (USD)
Destination Country
Preferred Shipment Method
Other
Proposed Shipment Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature of Exporter
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Should be Empty: