Truck shipping instructions
DATE SHIPMENT IS TO MOVE
Date
(form:02-21-2000)

PICK-UP ADDRESS Shipper name
Your e-mail
Street address
city
state or county
zip code
country
PHONE #
number
CONSIGN THIS SHIPMENT TO : Consignee name
Street address
city
state or county
zip code
country
PHONE #
number
NUMBERS OF PIECES
Please insert
number of items, a description of shipment and the weight in LBS
No. item LBS
No. item LBS
No. item LBS
No. item LBS
No. item LBS
INSURANCE
VALUE OF GOODS $
Dollars
ADDITIONAL COMMENT
    Please print this page before you submit the information and send or fax it then signed to this address:
STRAIGHTWAY INC
P O Box 74068
ROMULUS MI 48174 US
FAX: (734)946-1419

PLEASE CALL 1-800-729 2636 IF YOU HAVE ANY QUESTIONS CONCERNING THIS FORM
   
 

I authorize Straightway Inc to act as our shipping agent in the preparation of all documents necessary to export and ship the above-described material. Date :___________________ Signed :_______________________
Social security # :______________
Fed ID # :_________________
WE CANNOT BILL OVERSEAS FOR ANY REASON ! ! ! !
Send billing to :
______________________________________
______________________________________
______________________________________

Please fill out all fields before you send it or fax this order!

One call that´s all!