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Payment Type/Terms
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Shipper Consignee Third party  
Prepaid Collect Collect - Section 7 signed  
 
From
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Store Dept.
Ste. Floor
Apt. Div.
  Country Codes
To
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Store Dept.
Ste. Floor
Apt. Div.
  Country Codes
 
Third Party Information (optional)
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  Country Codes
Shipment Details
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BOL no. PO no. Handling
units 		Packaging
types 		Pieces Class Weight
(lbs) 		HM NMFC Cubic ft Description
Add row    Remove row
Total handling units  
Pro Number
Yes No
Additional Services
Call before delivery Freezable protection Top load only Do not stack pallets
Residential delivery Residential pickup Food Oversized/Extreme length
Limited access delivery Limited access pickup Poison Do not break down pallet
Liftgate at pickup
Prepaid
Collect 		Liftgate at delivery
Prepaid
Collect 		Inside pickup
Prepaid
Collect 		Inside delivery
Prepaid
Collect
HM Emergency Contact
Information
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Shipment Options (optional)
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Create Shipping Labels
Number of labels (1-500)
Start with label (position on page)
  Shipping Labels 1 2 3 4 3.5 x 5
4 x 6
Special Instructions
Custom Delivery
Requested by time (hh:mm)
a.m. p.m.
Between
&
On
Before
After  
C.O.D. (Collect on Delivery)
C.O.D. amount USD
Payment method Certified funds
Company check
Personal check
C.O.D. fee Prepaid
Collect
Remit to
Address
City
Phone no.
Ext.
  Country Codes
Declared Value
Declared Value
 
$ per
 
When completing this section, clearly note the value in US Dollars per unit of your shipment, i.e. $30 per pound.
NEW $
USED or RECONDITIONED
Check the appropriate box noting that the items shipped are either new or used/reconditioned.
When shipping new items, you may request additional Excess Liability Coverage, up to $50 per pound per package.
Note that excess liability charges may apply. Please see FXF100 Rules Tariff, Item 420 Carrier Liability for details.
E-mail Notification
E-mail document(s) Bill of Lading
Shipping labels
Both
E-mail to Shipper
Consignee
Third party
Send additional copies to

 
International Shipment: Broker Information (optional)
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Broker name
International shipments require a completed Bill of Lading with customs
broker contact information and a commercial invoice. Please note: lack
of broker information and documentation may cause transit delays at
border crossing.
Phone no.
Ext.
  Country Codes