JBH Worldwide: Auto Booking Form

Port of Discharge

Port of Discharge Lagos, Nigeria Cotonou, Benin Tema, Ghana Lome, Togo
Carrier of Choice

Carrier of Choice Grimaldi Sallaum
JBH Pickup Required?

JBH Pickup Required? Yes No

Does your vehicle need transportation to the port?
Upload Copart / IAA Buyer Receipt

Attach Files

Please scan and send us your Bill of Sale, or send us a digital copy of the Bill of Sale.
Please upload the FRONT of the Vehicle Title

Attach Files
Please upload the BACK of the Vehicle Title

Attach Files
To which PORT will the vehicle be delivered?
Select the status of the vehicle

Select the status of the vehicle Run & Drive Non-Runner Forklift
CUSTOMER INFORMATION
Customer Name Customer Name First Last
Company / Business Name
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone

Please type your number without spaces or dashes
CONSIGNEE INFORMATION
Name of Consignee Name of Consignee First Last
Address of Consignee Address of Consignee
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Consignee Phone

Enter only numbers, no dashes or brackets
Consignee E-mail address
VEHICLE INFORMATION
Make
Model
Year
Value in US Dollars $ Dollars . Cents
VIN Number
Comments
Upload a File

Attach Files