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Name: Email: Referred By Craigs List IAAI Qcsa Google Menhiem A friend Privete Other Phone Pick Up From Copart # IAAI Buyer # Qcsa Buyer # Menhiem Dealer # Privete Other Buyer # Choose Your Rep Your Rep Marcin Truskolaski Ragina Nisinov Haim Tesuva Hinga Efrat hason Natacha Katty Einav Many David None
:: Shipping Information ::
From zip: From-City State: Choose country Dubai Hong -Kong Chine AFGHANISTAN ALGERIA ANGUILLA ANTIGUA ARGENTINA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BELGIUM BELIZE BENIN BOLIVIA BOSNIA BRAZIL BRITISH VIRGIN ISLANDS BULGARIA BURKINA FASO CAMBODIA CAMEROON CANADA CHILE CHINA COLUMBIA COSTA RICA CURACAO CYPRESS CZECH REPUBLIC DENMARK DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR ESTONIA FIJI FINLAND FRANCE GERMANY GIBRALTER GREAT BRITAIN GREECE GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HUNGARY ICELAND IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KOREA KUWAIT KYRGYZSTAN LATVIA LEBANON LIBERIA LIBYA LITHUANIA MALI MAURITUS MEXICO MONGOLIA MOROCCO NETHERLANDS NEW ZEALAND NICARAGUA NIGER NIGERIA OMAN PAKISTAN PANAMA PARAGUAY PERU PHILIPPINES POLAND REPUBLIC OF ARMENIA REPUBLIC OF BELARUS REPUBLIC OF GEORGIA REPUBLIC OF GHANA REPUBLICA MOLDOVA ROMANIA RUSSIA SAINT LUCIA SAINT VINCENT AND THE GRENADINES SAMOA SAUDI ARABIA SENEGAL SERBIA SND MONTENEGRO SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOUTH AFRICA SPAIN ST KITTS-NEVIS SURINAME SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA TOGO TRINIDAD AND TABAGO TURKEY TURKMENISTAN TURKS & CAICOS UKRAINE UNITED ARAB EMIRATES UNITED STATES URUGUAY UZBEKISTAN VENEZUELA VIETNAM YEMEN TO Zip To City State: Choose country Dubai Hong -Kong Chine AFGHANISTAN ALGERIA ANGUILLA ANTIGUA ARGENTINA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BELGIUM BELIZE BENIN BOLIVIA BOSNIA BRAZIL BRITISH VIRGIN ISLANDS BULGARIA BURKINA FASO CAMBODIA CAMEROON CANADA CHILE CHINA COLUMBIA COSTA RICA CURACAO CYPRESS CZECH REPUBLIC DENMARK DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR ESTONIA FIJI FINLAND FRANCE GERMANY GIBRALTER GREAT BRITAIN GREECE GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HUNGARY ICELAND IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KOREA KUWAIT KYRGYZSTAN LATVIA LEBANON LIBERIA LIBYA LITHUANIA MALI MAURITUS MEXICO MONGOLIA MOROCCO NETHERLANDS NEW ZEALAND NICARAGUA NIGER NIGERIA OMAN PAKISTAN PANAMA PARAGUAY PERU PHILIPPINES POLAND REPUBLIC OF ARMENIA REPUBLIC OF BELARUS REPUBLIC OF GEORGIA REPUBLIC OF GHANA REPUBLICA MOLDOVA ROMANIA RUSSIA SAINT LUCIA SAINT VINCENT AND THE GRENADINES SAMOA SAUDI ARABIA SENEGAL SERBIA SND MONTENEGRO SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOUTH AFRICA SPAIN ST KITTS-NEVIS SURINAME SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA TOGO TRINIDAD AND TABAGO TURKEY TURKMENISTAN TURKS & CAICOS UKRAINE UNITED ARAB EMIRATES UNITED STATES URUGUAY UZBEKISTAN VENEZUELA VIETNAM YEMEN
:: Vehicle Information ::
Car BUS FULL SIZE BUS MINI Semi Trailer Semi Trailer Pickup Truck Full Size Truck SUV Mini Van Full Size Van Jet Ski Boat Motorcycle RV Other Year: 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 Make: Select Make Other Acura Alfa Romeo Audi Austin Austin Healy BMW Bricklen Buick Cadillac Chevrolet Chrysler Daewoo Daihatsu De Lorean Dodge Dodson Eagle Ferrari Ford Galaxy Geo GMC Honda Hummer Hyundai Hyundia Infiniti Isuzu Jaguar Jeep Kia KZ Lamborghini Land Rover Lexus Lincoln Lotus Mazda Mercedes-Benz Mercury MG Mini Mitsubishi Nash Nissan Oldsmobile Peugot Plymouth Pontiac Porsche Renault Rolls Royce SAAB Saturn Scion Sierra Subaru Suzuki Toyota Triumph Volkswagen Volvo Model:Operational Require Enclosed Carrier
:: 2nd Vehicle Information ::
Car Pickup Truck Full Size Truck SUV Mini Van Full Size Van Jet Ski Boat Motorcycle RV Other Year: 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 Make: Select Make Other Acura Alfa Romeo Audi Austin Austin Healy BMW Bricklen Buick Cadillac Chevrolet Chrysler Daewoo Daihatsu De Lorean Dodge Dodson Eagle Ferrari Ford Galaxy Geo GMC Honda Hummer Hyundai Hyundia Infiniti Isuzu Jaguar Jeep Kia KZ Lamborghini Land Rover Lexus Lincoln Lotus Mazda Mercedes-Benz Mercury MG Mini Mitsubishi Nash Nissan Oldsmobile Peugot Plymouth Pontiac Porsche Renault Rolls Royce SAAB Saturn Scion Sierra Subaru Suzuki Toyota Triumph Volkswagen Volvo Model: Operational Require Enclosed Carrier
Ready To Ship Date:12/01/2008
Comments/ Special Instructions
INternational Pickup address / Shipper address Delivery address and/or port/airport of termination Quantity Weight Frequency of shipments Type of service (air expedite, air 2-3 day, air 4-5 day, ocean) Requested container size (ocean freight) Value and/or if Insurance is required Product/ Commodity The use/function of the commodity Incoterms / Shipping terms Harmonized Tariff Schedule ( HTS # ) Schedule B # Crating / Repack Invoicing address US Custom Broker / Forwarder contact information Who’s paying for freight charges? Shipper or Consignee? CONTRACT TERMS AND CONDITIONS Between CUSTOMER and BROKER ____________________ 1)Customer (“Shipper”) warrants that it is the registered legal owner of the vehicle, or that it has been authorized by the legal owner (s) to enter into this agreement with CUSTOMER and BROKER _________________________________________ 2)By Shipper’s CUSTOMER and BROKER (an Auto Transport BROKER) authorizes the scheduled motor carrier physically transporting the vehicle (“Transporter”) and their agents and their employees to operate and transport the vehicle from point of origin to the destination specified in the Bill of Lading. With all email orders, filling un the form on our web site or sending email address from where the paperwork is sent shall be considered the signature. _________________________________________ 3)If vehicle is inoperable or customized please inquire as to extra charges. Shippers looking to transport trucks must notify BROKER as to the truck’s dimensions and whether it has oversized tires, extended cab, camper shell, toolbox, etc. If BROKER is not advised of inoperable, oversized, or customized vehicles prior to pick-up, all extra charges will be added to COD charges at time of delivery. Such charges are at the discretion of Transporter and are based upon the time and money lost by Transporter. _________________________________________ 4)BROKER And Transporter shall not be liable for the following: ________________________________________________________________ a) Damage caused by leaking fluids, battery acids, cooling system anti-freeze solution, industrial fallout or damage caused by acts of God. ______________________________________ b) Damage which is undetectable due to vehicle’s dirty condition at the time of pickup or glass damage caused by normal wear and road use. _________________________________________ c) Mechanical functions, exhaust assembly, frame, alignment, tire damage, suspension, or tuning of engine. _________________________________________ d) Any additional terminal or delivery fees sustained as a result of nobody being present or not having the proper payment at the time of delivery. _________________________________________ e) Damage to vehicles because: 1)Vehicles cannot be driven on or off the Transporter under its own power; 2) Vehicles that have defective or insufficient brakes, parking brake, or parking gear. _________________________________________ 5)After Shipper schedules the vehicle transport with BROKER, CUSTOMER will use its best efforts to have the car picked up within the designated schedule and have the vehicle delivered within eight to ten business days. Because unforeseeable factors such as weather, road conditions, mechanical breakdowns or repairs, etc. could delay pickup and delivery beyond ten business days, BROKER and Transporter do not guarantee the date or time of delivery and do not compensate for auto rental accruals. _________________________________________ Their Are no Deposit Refunds For Auto transport Deposit (with in 21 Days From The Time Customer Paid Deposit- That meand Customer Gives Broker 21 Days To find Him A trucker To ship His Car ) Deposit Will Be returned If 21 days passed & we could not find A trucker to Ship "Customer" car)( The Deposit is Use For Our Work To Find You A Trucker (if we Find Or Don't Find) we Make A lot of phone calls To try and Get You A trucker( We Spend Phone Calls & Time And Other expenses.!) in some state it is easy to find a trucker & other stats their is a short of Truckers That will do The "Job" In Any Case we BROKER Spend More time & efforts to find a truck on those " hard to get pick ups & that is why their is no refund for Any Deposits At List 21 Days After The Booking , ! That Means Customer Gives the broker At list 21 days to Match Him With A trucker Before He will be entitled For A Refund ! _________________________________________ 6)Shipper(CUSTOMER) is responsible for preparing the vehicle for transport. All loose parts, fragile or protruding accessories, low hanging spoilers, antennas, etc. must be removed and properly secured. Any part of the vehicle that falls off during transport as well as any damages caused by said part to any and all other vehicles involved is the customer’s responsibility. _________________________________________ 7)Luggage and personal property must be confined to trunk, with no heavy articles, and not to exceed 100 lbs, and presence of such luggage is at Transporter’s discretion. Electronics, furniture, firearms, plants, live animals, drugs, chemicals, and alcohol are prohibited from being transported. Transporter is not liable for personal items left in vehicle or for damage that they have caused. Any violation of such weight restriction could result in a fine that is at Shipper’s expense and shall be collected at time of delivery. _________________________________________ 8)Shipper agrees to properly note any claimed damage on the Bill of Lading while the Transporter is making the delivery, and to pay the balance of the delivery charges in cash or a cashiers check. Transporter (Not The BROKER )is responsible for damage done to scheduled vehicle while in transit, barring any of the exceptions detailed in this contract or in Transporter’s Bill of Lading. In order for the claim to be considered, such damage must be noted on Transporter’s Bill of Lading at time of delivery. Any claim of damage must be filed with Transporter within 15 days of delivery in writing, specifying the damage claimed, and must be accompanied by two written estimates of repair and photographs of the claimed damage. _________________________________________ 9)Due to varying circumstances, i.e. D.O.T. weight restrictions, steep hills, overhanging branches, narrow/winding streets, cul-de-sacs, local municipal laws etc., the Transporter on “door-to-door” shipment may have to arrange with Shipper/designee to meet him/her at a legal or safe pick-up or drop-off point as close as possible to the specified delivery address, but at the Transporter’s discretion. _________________________________________ 10)Unless the order has been prepaid, the Shipper shall pay all COD amounts, in cash or cashiers check with no exceptions. 11)Bill of Lading signed upon pick-up and delivery between Shipper, or its designee, and Transporter supersede all prior contracts. 12)Shipper agrees to indemnify, defend and hold BROKER harmless for any costs, expenses, damage, losses and claims caused by Shipper’s breach under this agreement and all suits must be carried out in the state of New York. Thanks KBMS Logistic Management ! 1-866-225-4709 _________________________________________ I agree to the above terms
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