Agent`s authority for entry of a single importation

AGENT’S AUTHORITY FOR ENTRY OF A SINGLE IMPORTATION
I hereby authorize FedEx Trade Networks Transport & Brokerage (Canada), Inc. to provide
Canadian customs brokerage services for the following shipment regardless of port of entry into
Canada.
Legal Name of Importer:
(Company and Individual)
Type of Organization (Select one):
__________________________________________
__________________________________________
Sole Proprietorship
Partnership
Corporation
Individual
Importer Address:
__________________________________________
__________________________________________
__________________________________________
Nature of Goods:
__________________________________________
Phone Number:
__________________________________________
Fax Number:
__________________________________________
Contact Person (for shipment):
__________________________________________
Email Address:
__________________________________________
Name of President of Company
__________________________________________
GST Number:
__________________________________________
Business/Importer Number:
__________________________________________
Tracking Number:
__________________________________________
Cargo Control Number:
__________________________________________
The attached invoices represent, to the best of my knowledge, true and complete values and
description of said goods.
All transactions are governed by our standard trading conditions and are available upon
request.
Signature of Duly Authorized
Officer of the Importer/Owner:
Print Name:
Date:
__________________________________________
__________________________________________
__________________________________________