Proforma Invoice For Customs Clearances

1. Vendor Name

Phone No

Street Address

City

Country

Postal/ZIP Code

2. Date of Direct Shipment to Canada

3. Other References (include Purchasers' Order No.)

PAPS # or PARS #

4. Consignee Name

Phone No

Street Address

City

Country

Postal/ZIP Code

5. Purchaser's Name and Address (if other than Consignee)

6. Country of Transhipment

7. Country of Origin (IF SHIPMENT INCLUDES GOODS OF DIFFERENT ORIGINS ENTER ORIGINS AGAINST ITEMS IN 12)

8. Transportation: Give Mode and Place of Direct Shipment to Canada

9. Conditions of Sale and Terms of Payment

10. Currency of Settlement

11. No of Pkgs	12. Specifications of Commodities (Kind of Packages, Marks and Numbers, General Description and Characteristics e.g. Grade, Quality)	13. Quantity (state unit)	Selling Price
11. No of Pkgs		13. Quantity (state unit)	14. Unit Price	15. Total

	HS Tariff Classification #
	Truck Frieght
	Brokerage Fee
18. If any of fields 1 to 17 are included on attached commercial invoice, 'Check this box Commercial Invoice No.		16. Total Weight Net Gross		17. Invoice Total

19. Exporter's Name (if other than Vendor)

Exporter's Address

Exporter's City

Exporter's Country

Exporter's Postal/ZIP Code

21. Departmental Ruling (if applicable)

20. Originator Name

Originator Address

Originator City

Originator Country

Originator Postal/ZIP Code

22. If Fields 23 to 25 are not applicable, check this box

23. If included in Field 17 indicate amounts:

(i) Transportation charges, expenses and insurance from the place of direct shipment to Canada

(ii) Costs for construction, erection and assembly incurred after importation into Canada

(iii) Export Packing

24. If not included in Field 17 indicate amount:

(i) Transportation charges, expenses and insurance from the place of direct shipment to Canada

(ii) Amount for commissions other than buying commissions

(iii) Export Packing

25. Check (if applicable)

(i) Royalty payments or subsequent proceeds are paid or payable by the purchaser

(ii) The purchaser has supplied goods or services for use in the production of these goods

Customs Brokers Name and address

Name of customer:

Phone No:

City:

Country:

Postal/ZIP Code:

Fax:

Website:

Address:

Performa Invoice for Customs Clearance

23. If included in Field 17 indicate amounts:

24. If not included in Field 17 indicate amount:

25. Check (if applicable)

Customs Brokers Name and address