Beja Custom House Brokers
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: