|
The Royal Embassy of Saudi
Arabia |
| EIS Transaction Number: | Date: |
| Name: | ||
| Address: | ||
| City: | State: | Zip: |
| Contact Person: | Position: | |
| Phone: | EIN/SSN: | |
| Fax: | E-Mail: | |
Non-US| Name: | ||
| Address: | ||
| City: | State: | Zip: |
| Country: | ||
Agent
Distributor
Jt. Venture
Corporation
Partnership
Branch/HQ
Other| Name: | |
| Address: | |
| City: | |
| Zip: | Phone: |
| E-Mail: | Fax: |
Bill of lading
Airway Bill Number:
| Name: | |
| Phone: | E-Mail: |
| Loading Port: | Destination Port: |
| Gross Shipping Wt. (KG): | Shipment Date: |
| HTS Code | Commodity Description | Qty | Unit Price | Total Price |
| Total Invoice Value of Shipment (U.S. Dollars) | ||||
| Print Name | Phone Number |
| I certify that the information contained herein is complete, accurate and true to the best of my knowledge. | |
| Signature | |
| For Official Use Only | EIS From 1048-595, Copyright © Oct 2000 |
| U.S. Saudi Arabian Business Council | Receipt Number |
| Saudi Arabian Consulate in | Serial Number |