KNOW ALL MEN BY THESE PRESENTS: That _________________________ (Full name of person, partnership, corporation, or sole proprietorship) (Identify) Doing business as a ____________________________________ under the laws of (Corporation, individual, sole proprietorship, partnership) (Insert one) The State of ____________________________________ residing or having a principal place of business at __________________________, Hereby constitutes and appoints _______________________, its officers, Employees and/or specifically authorized agents, to act for and on its behalf as a true and lawful agent and attorney of the grantor for and in the name, place and stead of said grantor, from this date, in the United States (the "territory") either in writing, electronically, or by other means, to:

Make, endorse, sign, declare, or swear to any customs entry, withdrawal, declaration, certificate, importer security filing, bill of lading, carnet, shipper's export declaration, commercial invoice, insurance certificate, draft or any other documents required by law or regulation in connection with the exportation or transportation of any merchandise in or through the customs territory, shipped or consigned by or to said grantor;

Perform any act or condition which may be required by law or regulation of the Department of Commerce, Department of Treasury or any other governmental agency in connection with such merchandise deliverable to or from said grantor; to receive or ship any merchandise;

Make endorsements on bills of lading conferring authority to transfer title; make entry or collect drawback; and to make, sign, declare, or swear to any statement or certificate required by law or regulation for drawback purposes, regardless of whether such document is intended for filing with Customs;

Sign, seal, and deliver for any as the act of said grantor any bond required by law or regulation in connection with the entry or withdrawal of imported merchandise or merchandise exported with or without benefit of drawback or in connection with the entry, clearance, lading, unlading, or navigation of any vessel or other means of conveyance owned or operated by said grantor, and any and all bonds which may be voluntarily given and accepted under applicable laws and regulations, consignee's and owner's declarations provided for in section 485, Tariff Act of 1930, as amended, or affidavits or statements in connection with the entry of merchandise;

Sign and swear to any document and to perform any act that may be necessary or required by law or regulation in connection with the entering, clearing, lading, unlading, or operation of any vessel or other means of conveyance owned or operated by said grantor;

Authorize other Customs Brokers duly licensed within the territory to act as grantor's agent; to receive, endorse and collect checks issued for Customs duty refunds in grantor's name drawn on the Treasurer of the United States or otherwise on behalf of grantor; if the grantor is a nonresident of the Territory, to accept service of process on behalf of the grantor;

And generally to transact Customs business, including filing of claims or protests under section 514 of the Tariff Act of 1930, or pursuant to other laws of the Territories, in which said grantor is or may be concerned or interested and which may properly be transacted or performed by an agent and attorney;

Giving to said agent and attorney full power and authority to do anything whatever requisite and necessary to be done in the premises as fully as said grantor could do if present and acting, hereby ratifying and confirming all that the said agent and attorney shall lawfully do by virtue of these presents

This power of attorney is to remain in full force and effect until revocation in writing is duly given and received by ____________________. (If the donor of this power of attorney is a partnership, the said power shall in no case have any force or effect in the Territory after the expiration of two (2) years from the date of its execution.)

Grantor hereby acknowledges receipt of _____________________'s Terms and Conditions of Service.

IN WITNESS WHEREOF, the said __________________________ caused these presents to be sealed