Please Enter Data Into Fields, Print, & Bring To The Office Along With Your Package.
From (Shipper)
Shipper's Name (Yours)
Date
Authorized
Shipper's Address (Yours)
Shipping
Safety Deposit
Shipper's City,State, Zip
Center
Self Storage
Shipper's Phone#
Clear all Fields
Pkg. #1 To (Recipient) No PO, APO, or FPO Addresses !
!
!
Checked I.D.
Company or Name
What are you shipping?
Wt.
Insurance
Insurance Amount
!
!
Yes!
No
$
Atten.
Adult
Priority Overnight !
Ground (Dom.)
Signature Req.
Standard Overnight!
International Priority
Address
Phone#
Add Ins. Over $100
FedEx 2nd Day!
International 1st
Breakable
Box Dimensions
City, State, Zip
FedEx 3 Day!
International Econ.
X
X
Pre-pack! !
Safety Dep. Packing
(Sat. Delivery Ground Only)
When Does It Need To Arrive?!!
N/A!
Mon!
Tue!
Wed!
Thur!
Fri!
Sat
(Sat. Delivery Priority Extra)
Pkg. #2 To (Recipient) No PO, APO, or FPO Addresses
What are you shipping?
Wt.
Company or Name
Insurance
Insurance Amount
!
!
Yes!
No
$
Adult
Atten.
Priority Overnight !
Ground (Dom.)
Signature Req.
Standard Overnight!
International Priority
Address
Phone#
Add Ins. Over $100
FedEx 2nd Day!
International 1st
Breakable
Box Dimensions
City, State, Zip
FedEx 3 Day!
International Econ.
X
X
Pre-pack! !
Safety Dep. Packing
(Sat. Delivery Ground Only)
When Does It Need To Arrive?!!
N/A!
Mon!
Tue!
Wed!
Thur!
Fri!
Sat
(Sat. Delivery Priority Extra)
I certify that I agree to the forgoing terms and that the stated contents and value for each package are truthful and complete. By signing, you release all liability against
Safety Deposit Self Storage.
Customer Signature
X _________________________________________________________________