FedEx & Purolator MIE Courier Shipping Form
(For all other courier companies you are responsible for your shipping requests)
For Courier Shipping, all information must be provided.
Item has to be packaged ‐ Please put a sender/receiver address label on your shipment.
E‐mail completed form to: reception@mie.utoronto.ca
(Couriers do not deliver to some P.O. Box #.)
Tracking number will be e‐mail when shipment is processed.
Thank you!
Country
REF or RMA#
Service type
(double click on box, select checked)
Overnight
2day
Economy
Ground
Contact Name:
Company:
Dept:
Address:
Room/Suite:
City:
Prov:
Postal/Zip Code:
Phone:
PAYMENT ACCOUNT: Supervisor Name& FIS Account #/or Name:
BILL RECIPIENT: Indicate if using a FedEx or Purolator account:
Package
Description:
Document
contents:
Description:
Products/Commodities
No. of packages: **
Weight:
(lb/kg)
** If shipping more than 1 box please write on each box the dimensions. (L/W/H) and weight of each box.
Shipment Purpose:
eg: Commercial, Gift, Sample, Return & Repair,
Personal effects, Personal use
Country Manufactured
: (not required if shipping within Canada):
Value ‐ for insurance purpose
in Canadian $
*** Export Declaration (B13A) Requirements:
For shipments destined to any country other than the United States, Puerto
Rico, and the U.S. Virgin Islands, exporters are required to complete and submit an Export Declaration (B13A) for goods that are
valued at CAD$2,000 or more, as well as any controlled, regulated, or prohibited goods of any value.
For more info.
No B13A required & enter the applicable exemption number:
Your contact info…
Name/E‐mail/Tel: