MAE - UPS Shipment Form

Note: * are required fields. Thank you.

Requestor Information
First Name:
Last (Family) Name:*
E-mail Address:*
      Note: if you are filling out this form on behalf of someone else, please include your email address in the Optional CC E-mail field.
Optional CC E-mail:
Office Phone:
Office Location:*
Other Phone Number:
Personal Memo :
      Appears in the subject of all email
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MAE - UPS Shipment Form
Shipper Name:*
Ship From Address:*
Ship From Phone Number:
Ship To/Attention To:*
Ship To Company:*
Ship to Address:*
Ship to Zip Code:*
Ship To Phone Number:
Amount of Insurance:
UPS Service:*
Type of Chemicals:*
      Enter None for no chemicals
Bill To:*
If Shipper, Funding String:
If Receiver, UPS Account Number:
      ***MAE will not ship any package without this form being completed.***
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