FedEX Shipment Request : ECE FLORIDA

Date

RECIPIENT INFORMATION

Recipient Name(Required)

First Last

Company Name(Required)

Recipient Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Account/Project(Required)

RMA (if applicable)

Advisor/Supervisor Email(Required)

Enter Email Confirm Email

ITEM 1

Item 1 Description(Required)

Number of Pieces(Required)

Unit Value(Required)

Total Value This Item(Required)

ITEM 2

Item 2 Description

Number of Pieces

Unit Value

Total Value This Item

ITEM 3

Item 3 Description

Number of Pieces

Unit Value

Total Value This Item

Total Value of Shipment

Total Weight of Shipment(Required)

(estimated, LBS)

SHIPPER

(That's You!)

Name(Required)

First Last

Email(Required)

Phone(Required)

Package Pickup Location

SHIPMENT DETAILS

Service Type(Required)

Comments or Notes

(special handling requirements? special instructions? dry ice? lithium batteries?)

Justification(Required)

Please provide business reason/ justification for shipping the items. If using sponsored projects, please provide description of direct benefit to the project.

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Phone

This field is for validation purposes and should be left unchanged.

FedEX Shipment Request

RECIPIENT INFORMATION

ITEM 1

ITEM 2

ITEM 3

SHIPPER

SHIPMENT DETAILS

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