POWERHOUSE INTERNATIONAL (WA) PTY LTD PERTH OFFICE
  SHIPPER'S LETTER OF INSTRUCTION / INTERM RECEIPT  
 * Required Fields

Shipper's / Receiver's Details

  
 
Shipper / Sender:*
 
A.B.N.*
 
Consignee / Receiver:*  
 
Notify party (if required):		  
Vessel/Voy:  
ETD:  
EDN:  
Destination:*
Airport of origin:*
Shippers Reference':  

Please Indicate which Charges you have allowed for
in your invoice value & which charges will be paid for
by your Overseas Customer.

Local Cartage:*
 
Documentation / Exit Entry:*
 
Other FOB Charges:*
 
Air Freight:*
 
OverSeas Clearance / Delivery:*
 
OverSeas Duty / Taxes(If Any):*
 

Pickup Information(if different from shippers address as Specified above)
Different Address(If Any):*
Cargo is ready on :*
Special Handling /Addition Information :*

Packages

  
 
Marks & numbers:		  
 
Description of goods:*  
No of Full Container Pallet or Outer Pack:*
No of Cartons or Inner Pack:*
Total weight (kg):*
Total CBM (m³):*

Please Answer all of the Questions

  
INCO terms for this Shipment?*
Are Goods of Australian Origin?*
If So,Which State are they Made?*
If Not,Country of Origin?*
Do You Require a Duty Drawback?*
Is there a Letter of Credit?*

Dangerous Goods (if applicable)

  
Does this shipment contain Dangerous goods*  
 

The Shipper hereby Declares:

   
That the particulars detailed on this Letter of Instruction are,

to the best of our knowledge, complete and accurate. Any

collect charges not paid for by the consignee will be for the

account of the shipper. Any charges incurred, that have not

been specifically indicated as collect, will be for the account of

the shipper.
   
We are aware of and accept the Standard Trading Terms &

Conditions of Powerhouse International Pty Ltd. We are also

aware of, and accept, the Conditions of Carriage as stipulated

on the reverse of the Powerhouse Bill of

and which is available upon request.
  

Certification

As the Shipper I certify that all particulars on this SLI are correct:*  
As the Shipper I certify that I have read and accepted the Standard Terms & Conditions of Contract:*  
Name:* Date:*  
Telephone:*     Email:*  
Please ensure your email address is correct your booking confirmation will be sent to this address

            
Tel: +61 8 9353 3622,  Fax: +61 8 9353 3272, or Email: Customer Care - sales@powerhousewa.com.au
or
Download the Shipper's Letter of Instruction (SLI) in .doc  or  .pdf - fax completed document to +61 8 9353 3272, 
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