Name:
Company:
Address:
City:   State:   Zip Code:

Phone Number:

FedEx Service:
Example: Priority, Standard, 2nd Day

Type of Packaging:
Example: Fedex Envelope, Pak, Box (Small, Medium, Large), Tube, or Own Packaging (provide box dimensions)

Package weight: lb(s)

Are you dropping off the package at the Main Office(Bldg #88, Room #3181)? (y/n)
Do you require a FedEx pickup? (y/n)

Account Number/Advisor: