Shipping Request

This form is utilized for shipment requests outside of the Supplier Portal Parameters.

PO #

Requestor Name

Date of Request
Shipment Ready by Date

Shipping From

Company Name

Address

Pickup Hours

POC Name

POC Phone Number

POC Email Address

Additional Notes

Attach commercial invoice for shipments originating out of the USA

Shipping To

Company Name

Address

POC Name

POC Phone Number

POC Email Address

Item Details

Part Number

ECCN

ITAR

Yes No

Hazmat

Yes No

Description

Pallet / Box Information

QTY of pallets / boxes

Dimensions of pallets / boxes LxWxH

Weight per pallet / box (lbs)

Stackable?

Yes No

Please attach packing list to your request