Ups Shipment Request
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1UPS SHIPMENT REQUEST
Please complete form and fax to 6588 by 12:00 noon to ensure same day shipment. If received after
12:00 noon, request will be processed next business day. Please contact Alecia Oldham at x6657 if
you have questions or concerns.
SHIPPER INFORMATION:
NAME
EXT
E-MAIL
SPECIAL INSTRUCTIONS:
Example: Reference Number; Return Authorization Number;
Charge to Recipient/Third Party – If so, include UPS Account Number
SHIP TO INFORMATION:
COMPANY NAME
ATTENTION
ADDRESS
SUITE
DEPARTMENT
CITY
STATE
ZIP
PHONE
SERVICE INFORMATION: CHECK ONE OF THE FOLLOWING
ND
NEXT DAY AIR EARLY A.M. (BY 8:00 A.M.)
2
DAY AIR
ND
NEXT DAY AIR (BY 10:30 A.M.)
2
DAY AIR A.M.
NEXT DAY AIR SAVER (BY 3:00 P.M.)
UPS 3 DAY SELECT
GROUND SERVICE
PACKAGING:
NUMBER OF PACKAGES:
UPS LETTER
PACKAGE 1 WEIGHT
UPS PAK
PACKAGE 2 WEIGHT
UPS TUBE
PACKAGE 3 WEIGHT
MY PACKAGING
PACKAGE 4 WEIGHT
INSURANCE REQUIRED:
□
□
IF YES, DECLARED VALUE
YES
NO
REFERENCE NUMBER:
PURCHASE ORDER NUMBER
HOW TO GET PACKAGE TO UPS:
DROP OFF AT UPS STORE
GIVE TO UPS DRIVER
SCHEDULE PICK-UP*
*MUST COMPLETE SCHEDULING INFO
SCHEDULING INFORMATION:
PICK-UP DATE
SHIPMENT READY AT
PICK-UP BY
BUILDING
FLOOR
ROOM
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Parent category: Business