Shipping Confirmation Form

Thank you for your order. To ensure that your shipment goes as smoothly as possible, please fill out this short form to confirm your shipping details.

Order Number*

Ship Blind?

Yes, Ship Blind
Standard Shipment

Distributors: If you do not want our company information to appear on any documentation, pallet or labels please select 'Ship Blind'.

Shipping Preference*

Please Obtain Shipping Quotes
We wish to ship on our own freight account

Receiver Information

This information will be used to obtain a freight quotation and / or create your pallet labels. Please complete all sections.

Ship-To Company*

Ship-To Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Receiving Contact Person*

First Last

Receiving Contact Phone*

Receiving Contact Email

Receiving Location Details

Receiving Days*

What days is your receiving department open?

Receiving Hours*

If receiving hours vary by day please specify hours for each day.

Receiving Capabilities*

Loading Dock
Fork Lift
Lift Gate Required At Destination

Select "Lift Gate Required" if you do not have: 1) A standard height loading dock OR 2) A fork lift at the delivery destination.

Optional Freight Insurance*

Yes, obtain quotes with Insurance
No, We do not want Insurance

All orders are FOB origin. This means risk of loss passes to you, the buyer, when the goods leave our facility. If you would like us to obtain freight quotes that include insurance, please indicate below.

Freight Insurance Amount*

Please indicate the dollar value you wish to insure the shipment.

Special Instructions to Carrier (Optional)

Please include any special instructions that will help the driver when delivering.

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