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Shipping Request Form
Shipper Information
Name:
Org:
Dept:
Phone:
Ext:
Email:
Date:
Signature:
Email Tracking
YES, Please e-mail the tracking information to my busniess account
NO, please use alternate e-mail:
Recipient Information
Org:
Country:
Name:
Phone:
Ext:
Address:
Dept/Room/Suite:
City, State, Zip:
Email:
Shipping Options
Next Day Air - Early AM by 8:30am
Next Day Air - Priority Overnight by 10:30am
Next Day Air - Standard Overnight by 3:00pm
2nd Day Air
3rd Day Air
Ground (1-6 day delivery)
LTL (Freight)
TL / Secure Ship (Freight)
UPS Express Critical (Pink Bag)
FedEx Custom Critical
Saturday delivery (outbound on Friday)
International (Commercial invoice required)
Signature Required (Package will not be left without signature)
Other shipper:
Return Service Requested - Provide return address:
Account#:
Insurance:
Yes
No
Value Amount: $
Shipping Details
Tracking or BOL Number:
Seal # (if applicable):
Manufacturer:
PN:
Description:
Quantity:
RMA #:
SHQ #:
Task/Ticket #:
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