CUSTOMER SHIPPING FORM

CUSTOMER SHIPPING FORM

Shipping Instructions
Your Name*

First NameLast Name
Your E-mail*
Other E-mail (optional)
example@example.com
PICKUP INFORMATION
Individual or Company
Senders or Pickup Address*

Street Address

Street Address Line 2

City / TownState, Province or District

Postal / Zip CodeCountry
Primary Number*

Area CodePhone Number
Alternate Number

Area CodePhone Number
DELIVERY INFORMATION
Delivery Contact Person*

First NameLast Name
Company Name (Optional)
Delivery Address*

Street Address

Street Address Line 2

City / TownState, Province or District

Postal / Zip CodeCountry
Primary Number*

Area CodePhone Number
Alternate Number

Area CodePhone Number
Final Destination

YesNo
Final destination Address

Street Address

Street Address Line 2

City / TownState, Province or District

Postal / Zip CodeCountry
SHIPMENT DETAILS
Type of Service *

Local (Domestic)AirOcean
Service Level*

ExpressWeeklyNext Available
Service Preference*

ConsolidateExclusiveOther
Responsible for charges*

ShipperReceiverOther Person
Type of Package*

Small PackageBoxPalletBarrelOther
Other Person Name:

First NameLast Name
Phone Number

Area CodePhone Number
Ready By

MonthDayYearHourMinutesAM/PM Option
Special Instructions (Additional information)
Include the Value
Dangerous Goods?*

YesNo
Goods Description*
Value in USD
Total Approximate Weight
Actual weight for all pieces
KgLbs
Dimensions (inches)
Length
Width
Height
Documents

Upload a File

Cancelof
Shipping Disclaimer*

*Customer agrees to comply with the required international shipping, customs and government guidelines. Shipper and carrier not responsible for undeclared or illegally shipped items. Customer is responsible for all other charges not related to this specific shipment including customs duties, government taxes and destination agency fees unless otherwise specified in writing.
Should be Empty: