Marketing Collateral Date:
Request Form Page: 1
City, State/ Zip:
Brochures Quantity Product Reference Guide Quantity
HD81-LV Reprints Quantity
Company Overview Miscellaneous Quantity
Home Theater PRG Red Optoma Folders 20
Accessories PRG Banners
Packages will be mailed every Friday by UPS Ground only. If the materials are needed sooner, please specify the due date, provide your UPS or
Fed Ex Account #, indicating the type of service required and fill out the shipping request form.
Name of Mailing/Shipping Service
Type of Shipping Service
Please Fax this form to 408-383-3702, Attention: Marketing Dept. or Email: firstname.lastname@example.org
Shipping Request Form
Date 7/2/2009 Consignee
Shipper Company Attention to
Other than Optoma Address
Contact Name: City, State/Zip
City, State/Zip Fax
Tel Business Hour
Fax Shipping Method
Business Hour Additional Liability Cover
Actual Weight Third Party Collect acct. #
(Pallet) Dimensional Deliver Date:
Model Quantity Purpose Serial Number
Terms & Conditions
1. Please indicate the due date on the request form.
2. Please indicate if additional liability coverage is needed.
3. Please submit to the Logistic Dept. by 2:00pm (require at least a 3-hour window before pick up).
4. Pick-up hours are according to pick-up location's business hours.
5. Please indicate if a return shipment is required.
Applicant (Print Name) Signature Date
OPTOMA USE ONLY
Manager (Print Name) Signature Date
Director of Operation ( Print Name) Signature Date