Request for Shipment of Merchandise Form
Date
Name
Street Number
Attention
Recipient Telephone Number
City
State
Zip Code
Ship via:
Auto
Ground
Air Priority Overnight
Air Standard Overnight
Air 2-Day
Air 3-Day
Call Tag
Number of Cartons
Special Instructions
Insure?
No
Yes
Value per Ctn. $
Billing
Prepaid
Freight Collect
Dept. Account Budget
Project
Object
Preparer E-mail
Description of Merchandise
Authorized Name
Department
Authorized Signature
WSU Mail Code
Type of Material Ordered
Hazards of Material
Company or Manufacturer Name
Primary Investigator Name
Expected Arrival Date