UPS SHIPPING AUTHORIZATION

Shipping Department Name and Address

Department*

Address line 1*

Address line 2

City

StateZip

 Contact Name*

Phone Number *

E-mail

Enter your E-mail address and we will notify you of the ship date
and provide the tracking number for your use.
       
FUND*
 DEPT ID*
 PROGRAM/PROJECT*
 CHART 1
 CHART 2
 EMPL ID
 


Ship To Information:

Company Name:

Ship To Street:

Ship To State:

 Ship To Attention:
Ship To City:

Ship To Zip:

Use this space to Request Insurance, Air Service, or service other then normal ground shipping.

All fields with an asterisk * are necessary.