COMMERCIAL PROFORMA INVOICE

Invoice or Ref Number: Invoice/Ship Date:	Instructions: Complete this form in triplicate, sign and attach on the OUTSIDE of the carton in a clear see-through envelope.
Shipper Name: Shipper Address: Your Address here	Consignee Name: Consignee Address: 8 Blacktoft Drive Scarborough, Ontario M1B 2M6 Canada
Contact Phone Number:	Consignee Contact Phone Number:

Total Number of Items: Total Shipment Wgt: Weight unit of Measure:

THIS IS NOT A SALE AND THE TRANSACTION HAS NO COMMERCIAL VALUE.Value for insurance purposes only. Total Value of goods: Currency: Shipping Charges:

Description of Goods: Item 1: Weight: Value: Currency: THIS IS NOT A SALE AND THE TRANSACTION HAS NO COMMERCIAL VALUE. This value is for insurance purposes only. This item is broken and has been sent from the shipper to the consignee for REPAIR AND RETURN to the shipper. Item 2: Weight: Value: Currency:

Signature	Date
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