CANADA MAIN OFFICE WAREHOUSE
1065 Stacey Court, Mississauga
Ontario Canada L4W-2X7

E-MAIL: info@rpxpress.ca
Contact Numbers:
905.712.2548
905.282.0096

416-258-1652

www.rpxpress.ca

PHILIPPINES MAIN OFFICE WAREHOUSE
No. 041 Purok 1 Brgy Osorio
Trece MartireS City, Cavite

Contact #: 0917.838.8018
0947.101.5111
International #: 416.444.6281
philippines@rpxpress.ca


BATCH #: REF#:
SHIPPER : AALA, ROLAND
ADDRESS : 3-41 MISSISSAUGA VALLEY BLVD., MISS ONT
Postal Code : L5A 3N5
CONTACT# : 437-925-3963
Email :
CONSIGNEE :
ADDRESS :
CITY : | PROV :
Region : | Island Group :
CONTACT# :
Email :
DESTINATION / CHARGES
Metro Manila:
Luz/Vis/Min:
Others:
Sub Total: 1
Insurance Premium: 1

SEA CARGO
Declare Value:
Insurance
Coverage:

MODE OF PAYMENT
By Cheque:
By Cash
By E-Transfer:

TOTAL: 2
NUMBER OF BOXES
REGULAR BOX:
1
BONUS BOX:
1
OTHER:
0

EMPTY BOX SOLD
REGULAR:
1
BONUS:
1
AMOUNT SOLD:
0

BOX REPLACED
REGULAR:
0
BONUS:
0
COMPLETE PACKAGING
IT IS MANDATORY TO LIST ALL YOUR ITEMS AS PER CUSTOMS REGULATIONS
QUANTITY















DESCRIPTION



















RECEIVED BY:


PICKED UP BY:


AGENT:
SHIPPERS EXPORT DECLARATION AND SHIPPING AGREEMENT
As owner of the describe herein, I hereby declare that (1) that they are the true and correct description of the contents (2) that there are no undeclared, misdeclared, restricted, illegal, or banned items including firearms, ammunition, illegal drugs, combustible goods included in the shipment (3) this I assume ful responsibility should any of the restricted items enumerated are found in my shipment (4) I understand and agree that perishable items or breakage, spoilage and spillage that may occur due to improper packing are shipped at my own risk (5) I also understand that this shipment is subject for custom examination in the PHILIPPINES and should tariff duties is imposed on any part of the shipment. I have the option to obtain the release of the goods or let the goods be seize by custom authorities in which case if I choose the first option. I hereby authorize the RP XPRESS SERVICE and its consolidation agents to represent me in clearing the subject goods and that I am willing to reimburse clearing agent for whatever expenses necessary to obtain the release of such goods.
INSURANCE AGREEMENT AND TERMS AND CONDITIONS OF LIABILITY
It is further understood that the liability of the RP XPRESS SERVICES and its consolidating agent will not exceed to $300 (Canadian Dollars) or declared value of goods inclusive or freight charges, which ever is lower. Said liability is limited to total loos only, unless otherwise stated in writing and corresponding insurance premium is paid. Notice and written proof of claim must be submitted not later than 30 days of the reported loss occurred. Claims submitted beyond 30 days will not be honored and the RP XPRESS SERVICES will not be held liable.
INSURANCE IS VOID IF OVER PACKED.
BY SIGNING BELOW, YOU FULLY UNDERSTAND AND ACCEPT THE FOREGOING TERMS AND CONDITIONS
CUSTOM DECLARATION

I declare, under the penalties of falsification that this information sheet has been made in good faith and to the best of my knowledge and belief is true and correct pursuant to the provisions of Customs Modernization and Tariff Act of the Philippines & its implementing rules & regulations
A $10 (Canadian Dollar) Charge for any Cheque Payments, NSF Cheques $50

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Signature of Sender
Date