Overnight Express Request Form
| DATE: | AIR BILL #:______________________ |
| DEPT.: | WEIGHT: _______________________ |
| SENDER: | COST: _________________________ |
|
METHOD OF PAYMENT: BILL SENDER: BILL RECIPIENT: NAME: |
EXPRESS COMPANY (CHECK ONE): * UPS (CAN NOT DELIVER TO P.O. BOXES) POSTAL EXPRESS (METRO AREAS DELIVERY BY 3:00 P.M.) * ($ 12.50 EXTRA FOR SATURDAY DELIVERY) |
| FUND: |
DEPT ID: |
ACCT #: |
CLASS: |
PROGRAM: |
| PRODUCT: |
PROJECT: |
OP UNIT: |
||
TIME OF DELIVERY (CHECK ONE)
NEXT DAY AM: NEXT DAY PM: TWO DAY SERVICE: SATURDAY:
TO: NAME:
PHONE:
COMPANY:
STREET ADDRESS
2nd STREET ADDRESS
CITY:
STATE: ZIP CODE:
COUNTRY:
| AUTHORIZED SIGNATURE: | |
| (MUST HAVE SIGNATURE AUTHORITY)/ |
PRINT NAME:
YES: SIGNATURE RELEASE (only if you don't need a signature when the item is delivered)
YES: If you want a signature on delivery to residential address please check here. (Extra charge)