| Shipment questionnaire -- 2008_06_20_United_States_of_America_1.html |
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| Name of the shipper or person in charge of shipment: | Mr. Shigeru Miyamoto |
| Email address of the shipper or person in charge of shipment: | s.miyamoto@company.co.jp |
| Telephone and fax number of the shipper or person in charge of the shipment: | Tel: +81-(0)3-3537-7126, Fax: +81-(0)3-3537-7128 |
| The "from" address as will appear on the shipment: | Shintomi Taiyo Bldg. 4F, Shintomi 2-2-13 Chuo-ku, Tokyo 104-0041 |
| Destination nation of the shipment: | United_States_of_America |
| The "to" address as it will appear on the shipment and the name and telephone number of the consignee: | Mr. David Grohl, Snack Cake Research Co. Ltd., 7878 Sleepy Pine Ave. Columbus, Ohio 43085 +1-614-888-1234 |
| The ZIP code or postal number of the "to" address: | 43085 |
| A description of the contents of the shipment. Please be as detailed as possible: | Snack cakes |
| If known, the area where the contents of the shipment were manufactured and the ingredients/compounds/etc. used in creating or manufacturing the contents of the shipment: | Sugar, Corn Syrup, Vegetable Shortening, Flour Bleached Enriched, Dextrose, Cocoa, Egg(s), Soybean(s) Oil, Emulsifiers [ Sorbitan Monostearate, Polysorbate 60, Mono and Diglycerides] |
| Weight of the contents of the shipment: | 1.2 kg per pouch, 5 pouches |
| Where applicable, desired manner of transport (e.g. can, bin, package, pouch, etc.): | Pouch |
| The per-item size or sizes of the contents of the shipment: | 5 snack cakes in individual pouches |
| Desired shipping temperature range: | Frozen (-20 degrees Celsius) |
| Intended purpose of shipment (e.g. research sample, gift, etc.): | Research sample |
| The declared value of the contents of the shipment as will be reported to customs: | 1000 Japanese Yen |
| If this shipment will be one of a series of scheduled shipments, please list the interval of subsequent shipments. (e.g. monthly, weekly, etc.) Otherwise please print "one time only". | One time only |
| If you have shipped the same contents via another shipping company in the past, please list the name of the previous shipping company: | This is the first time we will be making such a shipment |
| Affiliation of recipient (e.g. individual, corporation, university, etc.): | Corporation |
| Has the recipient received such shipments previously? If so, please detail: | Unsure |
| Additional questions or comments: | How long do you expect delivery to take? |