Shipping Request Form

Requestor Information

Date:

Department:

Sender:

Sender Phone:

Method of Payment

Ship Via:

UPS (Can not deliver to P.O. Boxes) Postal Express (Metro Areas Delivery By 3:00 pm)

* $12.50 Extra for Saturday Delivery

Fund:

Dept ID:

Account Number:

Class:

Program:

Product:

Project:

OP Unit:

Number of Boxes:

Custom Box Amount

Shipping Type:

Shipping Information

TO Name:

Phone:

Company:

Address 1:

Address 2:

Address 3:

City:

State or Province:

Zip or Postal Code:

Country:

Signature Release

I agreeOnly if you don't need a signature when the item is delivered

If you want a signature on delivery to residential address please check here.

Yes

Note: Attach a printout of this form to the package you are shipping