Pro Forma Invoice

Consignee Name:

Invoice Number:

Company Name:

Date:

Address:

HAWB:

Shipped Via:

Telephone Number:

No of Pieces:

Full Description of Goods:

Unit Value:

Total Value:

Total:

Currency:

NOT FOR SALE OR RE-SALE, SUPPLIED FREE OF CHARGE

Senders VAT No.:

Reason for Export:

I DECLARE THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE

Signed on behalf of the shipper:

Name in print.: