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 Port:*
Origin Port:*
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:*
 
Sea 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:*
FOB Invoice value:*
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.

  

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,