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DESTINATION:
Please
fill in all fields in the sections below. *=Required
fields
*Name:
Company:
*Address 1:
Address 2:
*City:
Postal Code:
*Country:
*Phone:
*Date:
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INSTRUCTIONS
FOR SHIPPING:
- Fill
in all required fields of the form
- Print
the form (select approximately 75 % size in your browser print preview)
- Attach
form to the package with tape
- Send
package with daily mail pickup
SHIPPING
CONFIRMATION: A notification of your tracking
number and shipment is available. Please select the radio button below
and provide your e-mail address.
Send Confirmation
Do not send confirmation
E-mail
Address:
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BILLING
INFORMATION:
Cash:
Yes
No
(# if no, fill in Dept. charge Acct.)
Bill
Recipient/3rd party:
*Sender Name:
*Sender Phone:
*Department:
#Dept. Charge:
(Acct. Format 00.00.00.000.0000.000.00000)
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SERVICE
INFORMATION:
Signature
Wavier:
Yes
No
Signature: ________________________
(sign printed copy)
All shipments are sent Priority International.
*Select one package type below:
Letter
Pak
Box
Tube
Other Package
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