SHIPPING FORM FROM WAVE POINT3

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PHB Die Casting Inc.

Shipment Request Form


Todays Ship
Date: Date:
PO #:
Reference #

Customer / Vendor Customer phone


Name: Number:

Company Name: Company Name:


Shipper Address: Destination Address:

Contact Name: Contact Name:


Phone: Phone:
Email: Email:
Shipping hours: Receiving Hours:

Special
Packaged (LTL / FTL) Requirements: Place X in section
Product description (what
is it) Delivery Notification
How is shipment
packaged? (Palletized,
loose, crated, etc.) Delivery Appointment
Quantity (Pallet count): Residential Delivery
Total Weight: Including
Pallet Lift Gate
Time Critical / Expedited
/ Guaranteed Delivery:
(IF APPLICABLE) MARK
DATE AND TIME
L X W X H: REQUIRED
Limited access
Freight Class: location(s) No dock?
NMFC #
Hazardous? (Y/N):

Comments:
Other (Please write in
any other special
requirements)

Carrier Liability Insurance


Value of Shipment
Additional Insurance
to cover full value
(Yes/No)

Revised 8/18/2021
PHB Die Casting Inc.
Please complete the form and return to Michele Menosky [email protected]
at Wavepoint 3pl to arrange freight. 814-347-1300 opt. 3

Revised 8/18/2021

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