Liquidation Notice Request

* Denotes a required field

* Full Name:
* Company Name:
* Job Title:
* IRS Number:
* Email Address:  
* Phone Number:
* Liquidation Email:  What's this?This is the email address we will send the liquidation report to if different from the email address above.
  To enter multiple email addresses use a comma or semi-colon between addresses

Enter the text above into the field on the right.

Upon completion of the web application and acceptance of the Hold Harmless Agreement,
Coppersmith will provide Liquidation Information upon receipt from CBP for a processing
fee of $50 per month.

In addition, if you wish to receive all liquidation information regardless of what Brokers are
handling your entries you may appoint Coppersmith the National Importer Liquidations (NILS)
designee. Coppersmith will then provide all Liquidation Information for $75 per month.

I have read the terms and conditions and I am authorized to enter into this agreement.