e-APIS INFORMATION - AFTER SELECTING DEPARTURE OR ARRIVAL NOTIFICATION AS APPROPRIATE, ALL FIELDS ON THIS FORM ARE MANDATORY FOR U.S. CUSTOMS CLEARANCE - ANY FIELDS LEFT BLANK CONSTITUTES DENIAL OF THE CLEARANCE |
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| Customer Name | |
| Contact Name | |
| Contact's e-mail | |
| Contact's Business Phone Number | |
| Contact's Cell Phone Number | |
| Contact's Fax Number | |
| Billing Address | |
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| Delivery Address | |
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| CARGO INFORMATION |
| Exact Description of Cargo | |
| Exact Dimensions of Cargo (Including Pallets) | |
| Can Pallets be Broken Down | YesNo |
| Total Weight in Pounds | |
| Hazardous Materials or Dangerous Goods | YesNo |
| Additional Comments: |
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| ROUTING INFORMATION |
| Departure Airport City | |
| Departure Airport (ICAO) | |
| Date/Time (Local) | |
| Arrival Airport City | |
| Arrival Airport (ICAO) | |
| Number of Passengers or Couriers | |
| Additional Comments: |
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