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DESTINATION:
Please
fill in all fields in the sections below. *=Required
fields
*Name:
Company:
*Address
1:
Address 2:
*City:
*State:
*Zip
Code:
*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 or 3rd party:
*Sender
Name:
*Sender
Phone:
*Department:
#Dept. Charge(21 digits):
Acct. Format (00.00.00.000.0000.000.00000)
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SERVICE
INFORMATION: *=Required
fields
*Signature
Wavier (free):
Yes
No
*Direct
Signature ($2.00)
Yes
No
*Indirect
Signature ($1.50)
Yes
No
Saturday Delivery:
Yes
No
*Type
of Service, Check one:
Next Day by 10:30 AM
Next Day by 3:00 PM
2nd Day
Ground
*Package
Value:
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