Shipping Request For Alabama Tobacco Stamps - Alabama Department Of Revenue

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A
D
R
TOB: SHIP
LABAMA
EPARTMENT OF
EVENUE
8/97
S
, U
& B
T
D
ALES
SE
USINESS
AX
IVISION
T
T
S
OBACCO
AX
ECTION
P.O. Box 327555 • Montgomery, AL 36132-7555 • (334) 242-9627
Shipping Request for Alabama Tobacco Stamps
Wholesale Distributor: _______________________________________________________________________
Address: _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Telephone Number: (_______)_______________________________________________________________
Requested Shipping Method:
Pick Up
Bus Lines (fully insured – $500.00)
Federal Express (fully insured – $500.00)
Federal Express Account Number: _____________________________________________________
NOTE: All shipping and handling charges will be paid COD by the wholesale distributor. Sign,
date, and return this form to the address above.
I hereby request that all my Alabama Tobacco Stamps be shipped in the manner indicated above.
___________________________________________
___________________________________________
Authorized Signature
Date
___________________________________________
Title

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