Declaration/pro Forma Invoice Template

***PRINT ONTO LETTERHEAD PAPER***

***FILL IN HIGHLIGHTED SECTIONS***

END USER LETTER

Date:

Consignment note/Airwaybill Number:

To Whom It May Concern:,

Blue Circle HAWB# xxxxxxxx contains XYZ product and is being shipped on behalf

of XYZ company and address. The manufacturer of this product is ABC Corp

located in Victoria, Australia (Full address recommended).

Importer of Record (sender):

Ultimate consignee (recipient):

XYZ product will eventually be used (state end usage). If the product is not for use in

humans please specify as “Lab Testing” is not sufficient anymore.

Regards,

SIGN AND DATE

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Parent category: Business