Customs Brokerage Interest Form

First Name

Last Name

Company

Reason for import:

Expected annual volume

Commodity or 10-digit HTS

Country of manufacture

Will the importer be claiming any free trade agreements?

Yes No

Phone Number

Have you imported before?

Yes No

To which country are you importing?

U.S. Canada

Mode of Transportation

Air

Ocean

Cross-Border Truck

Expected start date

Commercial invoice value

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