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Heavy Freight Shipping Form

Please Complete the Following

1. Please provide the contact information and origin shipping location.
Person Shipping:
Email Address:
Phone:
Street Address:
City, State, Zip:,
Department:
FIS Index for Charges:
Pickup Date and Time:
2. Please provide information about the destination location and shipping contact information.
Delivery Date and Time:
Person Receiving:
Email Address:
Phone:
Street Address:
City, State, Zip:,
Is there a Dock or Forklift?:
3. Item Information
Item(s) being shipped (description):
Estimated Value:
Size--(L x H x W):
Weight:
4. Instructions/Comments
Special Instructions:
Notes: