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WAYBILL REQUEST FORM - DOC by zzc14341

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									                                  WAYBILL REQUEST FORM

Please send this to EFS Stores via email (stores@eng.uwo.ca) before 1pm daily to
ensure pickup at 3:30pm. All fields in bold are required. Incomplete forms will
be returned.

                          ADDRESS INFORMATION

Company Name (if none, use n/a):
First Name:
Last Name:
Address:

Country:
Phone Number: REQUIRED!
Postal Code:
City:
Province/State (if applicable):


                          DELIVERY INFORMATION
                              Fill in as required

        DOMESTIC SERVICE                       INTERNATIONAL SERVICE
Residential?       Yes/no            Declared Value: Include currency
Saturday Delivery? Yes/no            Contents:       Please be specific
Fragile?           Yes/no
Other Special Req?                   VAT Number:        If applicable
Dangerous Goods? Yes/no              Export Reason:     Permanent/Temporary/Return
   DG Class:                         Country of
   DG PIN:                           Manufacture:

If you are sending boxes (NOT documents):

Number of pieces:                         Weight:              Specify lbs/kgs
Dimensions:           Length              Width                Height



                            OTHER INFORMATION

Email notification of delivery?           Insert email address here
9AM or 12 NOON optional delivery?
Speedcode + Account Code 621830:          Example: ND23621830
3rd Party Collect Account #:

								
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