Letter of Acceptance - Change of Billing Account for

transportation and/or duty charges

Dear Customer

This form has been sent to you in respond to your request to change billing account for
shipment(s) billed.

Note: 1. All fields are mandatory. Please complete in BLOCK letters.

2. Return the completed form by fax 2773-1577 OR email hkbillinghotline@dhl.com.

A. HAWB no.: _________________________________________________________

B. Charges to be re-billed (tick the required box):

Transportation charge and other related charges (e.g. insurance, fuel surcharge, remote area
surcharge, etc.)

Duty charges and/or applicable taxes. DTP administration fee of HK$150 will also apply.

C. Re-bill the above to our DHL Express account:

Account number: ____________________________________________________________

For import / 3rd party billed services, state the DHL Import Express account number that starts with “95” or
“96”.
For export / local services, state the DHL pre-paid outbound account number that starts with “63”.

Account Name: ______________________________________________________________

D. Contact Information

Full Name:__________________________________________________________________

Phone number: ______________________________________________________________

_____________________________________
Company Chop & Authorized Signature.
Date: ________________________

LOA – form C (F_D v1.02) Page 1 of 1