Box Shipping Service Households Form

Unique ID

Who is the shipper or exporter for this cargo?

Name(Required)

First Last

Email(Required)

Phone(Required)

Company (If Applicable)

U.S. Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Who is the consignee or importer for this cargo?

Name(Required)

First Last

Email(Required)

Phone(Required)

Company (If Applicable)

Bolivian Address(Required)

Street Address Address Line 2 City State / Province / Region Country

Notify Party on Cargo Arrival(Required)

Only Notify Consignee.

Notify Consignee and Additional party.

Additional Party Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Company (If Applicable)

Bolivian Address(Required)

Street Address Address Line 2 City State / Province / Region Country

How many boxes are you shipping?

Destination(Required)

Lozada Box - 24" x 24" x 24"(Required)

Price: $124.99

Baltimore, MD, USA → Aduana Interna, Cochabamba, Bolivia

Lozada Box - 24" x 24" x 24"(Required)

Price: $124.99

Baltimore, MD, USA → Aduana Interna, La Paz, Bolivia

Lozada Box - 24" x 24" x 24"(Required)

Price: $124.99

Baltimore, MD, USA → Aduana Interna, Santa Cruz, Bolivia

Total

What are you shipping?

I am shipping household items belonging to me and my family unit.(Required)

I certify that this statement is true.

Total value of your cargo (U.S. Dollar):(Required)

Electronic Export Information (EEI) Filing required to obtain ITN export authorization. (For cargo valued over $2500)(Required)

EEI Filing Fee

Prohibited Items(Required)

I have read the Prohibited Items page.

U.S. Export Requirements(Required)

I have read the U.S. Export Requirements page.

Importer Requirements (Bolivia)(Required)

I have read the Bolivia - Importer Requirements page.

Total

Credit Card(Required)

Cardholder Name

Card Details

Transportation Agreement(Required)

I agree to the Terms & Conditions

Signature(Required)

Box Shipping Form

Who is the shipper or exporter for this cargo?

Who is the consignee or importer for this cargo?

Additional Party Information

How many boxes are you shipping?

What are you shipping?