Revised 10-15-2018

(Full name of business or individual in the U.S. benefitting from the export transaction), herein the U.S.

Principal Party in Interest (“USPPI”), organized and doing business under the laws of the State or Country of
, having 9-digit EIN number (or SSN if no EIN) of
and a U.S. address of: , hereby authorizes, certifies, acknowledges and agrees as follows:
  1. USPPI hereby authorizes Amerijet International, Inc. and its successors or assigns (“Amerijet” or “Authorized Agent”), from this date until such time as revocation in writing is duly given by USPPI and received by Authorized Agent, to act for and on its behalf as a true and lawful agent and attorney of USPPI for, and in the name, place, and stead of USPPI, in the United States either in writing, electronically, or by other authorized means to: act as authorized agent for export control, U.S. Census Bureau (“Census Bureau”) reporting, and U.S. Customs and Border Protection (“CBP”) purposes; prepare and transmit any Electronic Export Information (“EEI”) or other documents or records required to be filed by the Census Bureau, CBP, the Bureau of lndustry and Security, or any other U.S. Government agency; and perform any other act that may be required by law or regulation in connection with the exportation or transportation of any goods shipped or consigned by or to USPPI, and to receive or ship any goods on behalf of USPPI.
  2. USPPI acknowledges and agrees that Amerijet will act as an authorized agent for EEI filing only when shipments contain commodities that require electronic filing of the EEI according to U.S. law and regulations, provided, however, that USPPI is solely responsible for determining export licensing requirements and obtaining licensing authority if required.
  3. USPPI agrees that by executing this document, USPPI and its shipments are subject to the version of the Amerijet Memo Tariff and the Terms and Conditions of Carriage published on the Amerijet website at and in effect at the time USPPI tenders any shipment to Amerijet.
  4. USPPI agrees to indemnify, hold harmless and defend Authorized Agent, its officers, directors, employees and agents, from and against any and all claims, expenses, fines, penalties, judgments, damages or awards (including without limitation reasonable attorney fees) arising out of or related to USPPI’s failure to comply with U.S. law applicable to the exportation of shipments, or arising out of or related to Authorized Agent’s preparation and filing of the EEI, except for claims arising solely from the gross negligence or willful misconduct of Authorized Agent. USPPI agrees that Florida law shall govern this agreement.

IN WITNESS WHEREOF, the USPPI caused these presents to be sealed and signed:

(By signing, the signatory attests that he or she has authority to sign on behalf of USPPI)