http://www.mybejachbaccount.com

Complete this form and fax us a Power of Attorney (located on the left). We will invoice for the Continuous Bond. This Bond is good for one year from the effective date and we need 7-8 business days for it to be processed by U.S. Customs.

Port In Which You Import:

Country Importing From:

Products Importing:

Type Of Business:

Company Name:

Address 1:

Address 2:

City:

State:

Zip:

County:

Phone

Fax:

Years In Business:

 

No. Shipments Per Year:

Estimated Duties Per Year:

Estimated Value Of Shipments:

 

No. Shipments Last Year:

Estimated Duties Last Year:

Estimated Value of Shipments Last Year:

 

eMail: