9111 S La Cienega Blvd #203 * Inglewood, Ca. 90301
Tel: (310) 670-2688 * Fax: (310) 670-3788

Continuous Transaction Bond request from:   
File New Bond
The principal has a continuous bond in effect

                                                       (Exact Name on file with US customs)
                                 If a Foreign Principal, Power of Attorney require attached.

Importer Number:

                                         Is this a new address? Yes   

Phone Number: Requested Effective Date:

State of Incorporation: Years in business:

Business owner’s name & home address

Amount of Bond Requested:
If over $100,000, Current Financial statements andGeneral Indemnity Agreement required

Describe Merchandise:

Countries of Origin:    

                                                         Last Calendar Year                             Estimated Next Calendar Year

Total Values Entered                   

Total Duties Paid:                       

I certify that the factual information contained in this application is true and accurate and any information provided which is based Upon estimates and information available at the date of this application.


Print Name: Company: