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SHIP DATE REQUESTED / REQUIRED ARRIVAL DATE
shipping date:JAN,1,2009 arrival date:JAN,1,2009
SHIPPING ADDRESS (PPD) DELIVERY ADDRESS (Collect)
Name
Address

* City
State
* Zipcode
Tele
* Contact
* Ready Time
* Close At
* Total Pcs
* Weight
Class
Name
Address

* City
State
* Zipcode
Tele
* Contact
Delivery Appt
Purchase Order No.
SHIPPING CHARACTERISTICS– Check as Needed BILLING ADDRESS
Pallets
Crates
Cartons
Drums
 
Other
Hazardous

enter hazardous class and UN number in the special instructions field below
Total Cubic Feet
Length
Width
Height
 
Total Trailer Floor Space Required Feet
Description of Merchandise
Same as
Name
Address

* City
State
* Zipcode
Tele
* Contact
Reference No
* Email Address
SPECIAL INSTRUCTIONS
     

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