4FOEFSdetails%FTDSJQUJPOofgoods2VBOUJUZ6OJUXFJHIU LH6OJUvBMVF)4cPEF$PVOUSZPGoSJHJO5PUBMXFJHIU LH5PUBMvBMVF$PNQBOZEESFTTlineEESFTTline1PTUDPEF$JUZ$PVOUSZReceivername5FMFQIPOF&NBJMReceiverdetails%FMJWFSZdetails JGEJGGFSFOUGSPNSFDFJWFS/BNFandSignatureCompanyandJobtitle%BUF*OWPJDFnVNCFS(optional)4IJQQJOHdBUF4IJQNFOUnVNCFSCVSSFODZ3FBTPOGPSeYQPSU4FOEFS75nVNCFS3FDFJWFS75nVNCFS5FSNTPGsBMF *ODPUFSNT$PNNFSDJBM*OWPJDFTotalshipmentvalue:Discount:Subtotal:Shippingcosts:Insurancecosts:Othercosts:Totaldeclaredvalue:NumberofpackagesinshipmentDeclaration*EFDMBSFUIBUUIFcontentofUIJTJOWPJDFJTUSVFBOEDPSSFDU$PNQBOZEESFTTlineEESFTTline1PTUDPEF$JUZ$PVOUSZDeliverycontact5FMFQIPOF&NBJM$PNQBOZEESFTTlineEESFTTline1PTUDPEF$JUZ$PVOUSZSendername5FMFQIPOF&NBJMAdditionalinformation(e.g.hazardousdetails,EORInumber,ECCNnumber,etc.)