DEC Authority

Letter of Authority – Defence Export Controls only

I/ We (insert name below)

First

Last

Todays Date

Firearms License Number

In the state of Australia (QLD, VIC, NSW, WA, SA, NT)

give authority to Renee Wilson (or represenative) of Custom Brokers Pty Ltd (ABN 63 636 237 682) to act on my behalf in all matters relating to the export of my firearms, equipment, and ammunition to the upcoming trip to compete at (provide competition Details (Location, Country, Dates))

Competition Location, Country, Dates

Tick Below (if applicable)

THIS INCLUDES AUTHORITY FOR ALL CURRENT AND FUTURE SHIPMENTS

I DO NOT HAVE A DCRN AND REQUEST CUSTOMS BROKERS TO APPLY FOR ONE ON MY BEHALF

I HAVE A DCRN AND HAVE PROVIDED IT BELOW

I/we also give authortiy for Customs Brokers Pty Ltd to be the authorised contact for this DCRN:

Main Phone

Email

Australian Address

City

State/Province

Zip/Postal

Country

Signature

Clear

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