Wisconsin Office of the Secretary of State
Federal Express Return Shipment Order Form
If you would like your shipment sent back via Federal Express (FedEx), please fill out the form below
and we will enter the information for you, or if you prefer, you can go to the FedEx, United Parcel
Service (UPS) or United States Postal Service (USPS) website and order an air bill with your credit
card.
Shipping Address
Billing Address
Same as Shipping Address
Name____________________
Name____________________
Address 1_________________
Address 1_________________
Address 2_________________
Address 2________________
City______________________
City______________________
State_____________________
State____________________
Country if not USA___________
Country if not USA__________
Zip Code__________________
Zip Code_________________
Phone #___________________
Phone___________________
Residence Business
Service Type
US Service
International Service
Special Handling
First Overnight
No Signature
FedEx account holders only
Priority Overnight
International First
Direct Signature
Standard Overnight
International Priority
Indirect Signature
2-Day
International Economy
Express Saver
Saturday Delivery
Saturday Delivery
Payment Type
Credit Card Type
FED EX WILL NOT ACCEPT DEBIT CARDS!!
American Express
Credit Card #_____________________________
Visa
Security ID # _____
Master Card
Expiration Date ______/_______
Discover
E-mail Address __________________________
Diner’s Club
OR
FedEx Account #___________________________________
Signature_____________________________________ Date __________