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					                          Campus Management
                                                                           COURIER                                             Campus Management                                COURIER
                          100 College Blvd.                                                                                    100 College Blvd.
                          Box 5005                                         REQUEST                                             Box 5005                                         REQUEST
                          Red Deer. AB T4N 5H5                                                                                 Red Deer. AB T4N 5H5
                          Phone: 403.342.3470                                                                                  Phone: 403.342.3470

The information on this form is personal information and must be protected in compliance             The information on this form is personal information and must be protected in compliance
with the provisions of FOIPP.                                                                        with the provisions of FOIPP.

SHIPPING INFORMATION                                                                                 SHIPPING INFORMATION
 SENDER’S NAME                                          OFFICE PHONE                                  SENDER’S NAME                                          OFFICE PHONE


 COURIER’S NAME                                         DATE                                          COURIER’S NAME                                         DATE


 RECIPIENT’S NAME                               RECIPIENT’S CONTACT PHONE # (REQUIRED)                RECIPIENT’S NAME                               RECIPIENT’S CONTACT PHONE # (REQUIRED)


 DESTINATION ADDRESS                                                                                  DESTINATION ADDRESS


 CITY                                                   PROVINCE/STATE                                CITY                                                   PROVINCE/STATE


 POSTAL/ZIP CODE              SELECT      ONE                                                         POSTAL/ZIP CODE              SELECT      ONE
                                   Ground         Air                                                                                   Ground         Air
 BUDGET CODE                  If not specified, package will be sent by the most economical means.    BUDGET CODE                  If not specified, package will be sent by the most economical means.
                              Please phone Shipping and Receiving (3470) for further information                                   Please phone Shipping and Receiving (3470) for further information

                                                                                          01/12                                                                                                01/12



                          Campus Management                                                                                    Campus Management
                          100 College Blvd.                                COURIER                                             100 College Blvd.                                COURIER
                          Box 5005
                          Red Deer. AB T4N 5H5
                                                                           REQUEST                                             Box 5005
                                                                                                                               Red Deer. AB T4N 5H5
                                                                                                                                                                                REQUEST
                          Phone: 403.342.3470                                                                                  Phone: 403.342.3470

The information on this form is personal information and must be protected in compliance             The information on this form is personal information and must be protected in compliance
with the provisions of FOIPP.                                                                        with the provisions of FOIPP.

SHIPPING INFORMATION                                                                                 SHIPPING INFORMATION
 SENDER’S NAME                                          OFFICE PHONE                                  SENDER’S NAME                                          OFFICE PHONE


 COURIER’S NAME                                         DATE                                          COURIER’S NAME                                         DATE


 RECIPIENT’S NAME                               RECIPIENT’S CONTACT PHONE # (REQUIRED)                RECIPIENT’S NAME                               RECIPIENT’S CONTACT PHONE # (REQUIRED)


 DESTINATION ADDRESS                                                                                  DESTINATION ADDRESS


 CITY                                                   PROVINCE/STATE                                CITY                                                   PROVINCE/STATE


 POSTAL/ZIP CODE              SELECT      ONE                                                         POSTAL/ZIP CODE              SELECT      ONE
                                   Ground         Air                                                                                   Ground         Air
 BUDGET CODE                  If not specified, package will be sent by the most economical means.    BUDGET CODE                  If not specified, package will be sent by the most economical means.
                              Please phone Shipping and Receiving (3470) for further information                                   Please phone Shipping and Receiving (3470) for further information

                                                                                          01/12                                                                                                01/12

				
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