FAXED COPIES/ADDITIONAL CERTIFIED COPIES Check the faxed copies box if you wish to have a copy of the completed certificate faxed to the fax number provided in box 6. If you need additional certified copies please indicate the number of copies needed in the box next to CERTIFIED COPIES”. There will be an additional charge for each of these services. “ADDITIONAL CONTACT NAME (75) Who should AMS contact with questions regarding this certificate request? AMS BILLING ACCT. (50) This is the AMS applicant number from the Dairy Grading Branch billing system. Applicant numbers can be obtained or verified from Bari Kinne at: 630-437-5073 or . This is a seven digit number. BILLING REFERENCE (25) This is an optional field for your internal reference information. This information will appear on the monthly statement next to the charges for the export certificate. The information you provide will help to identify this particular request. E-MAIL ADDRESS (255) Provide an e-mail address for notifications regarding the processing and billing of this request. CONTACT PHONE (40) Provide a telephone number us to contact you with questions. Include area code and country code if applicable. FAX (40) Provide a fax number where information regarding the certificate request can be directed. COMPANY (75) Provide the name of company to which the certificate should be mailed. If the request for the certificate is by a private individual, put NA (for not applicable) in this box. CONTACT (75) Who should AMS mail the certificate to when completed? STREET (75) Provide the street address for the mailing address. CITY (35) Provide the city for the mailing address. STATE (10) Provide the for the mailing address. ZIP (35) Provide the zip code for the mailing address. The information requested below will appear on the export certificate. CONSIGNOR NAME (75) Enter the name of the consignor (entity in the U.S. exporting the product).
FAXED COPIES/ADDITIONAL CERTIFIED COPIES Check the faxed copies box if you wish to have a copy of the completed certificate faxed to the fax number provided in box 6. If you need additional certified copies please indicate the number of copies needed in the box next to “ADDITIONAL CERTIFIED COPIES”. There will be an additional charge for each of these services. CONTACT NAME (75) Who should AMS contact with questions regarding this certificate request? AMS BILLING ACCT. (50) This is the AMS applicant number from the Dairy Grading Branch billing system. Applicant numbers can be obtained or verified from Bari Kinne at: 630-437-5073 or . This is a seven digit number. BILLING REFERENCE (25) This is an optional field for your internal reference information. This information will appear on the monthly statement next to the charges for the export certificate. The information you provide will help to identify this particular request. E-MAIL ADDRESS (255) Provide an e-mail address for notifications regarding the processing and billing of this request. CONTACT PHONE (40) Provide a telephone number us to contact you with questions. Include area code and country code if applicable. FAX (40) Provide a fax number where information regarding the certificate request can be directed. COMPANY (75) Provide the name of company to which the certificate should be mailed. If the request for the certificate is by a private individual, put NA (for not applicable) in this box. CONTACT (75) Who should AMS mail the certificate to when completed? STREET (75) Provide the street address for the mailing address. CITY (35) Provide the city for the mailing address. STATE (10) Provide the for the mailing address. ZIP (35) Provide the zip code for the mailing address. The information requested below will appear on the export certificate. CONSIGNOR NAME (75) Enter the name of the consignor (entity in the U.S. exporting the product).
Tunisia_Instructions_docx.docx