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Shipping Request


ORIGINATION:
Company:  
Contact Name:  
Street Address:  
City:  
State:  
Zip:  
Telephone:  
Fax:  
Email:  
Booth Number:  


DESTINATION:
Company:  
Contact Name:  
Street Address:  
City:  
State:  
Zip:  
Telephone:  
Fax:  
Email:  
Booth Number:  


SHIPPING INFORMATION:
Number of Pieces:  
Description of Goods:  
Weight (Subject to ReWeigh):  
Dimensions (L x W x H):  
Declared Value Insurance:  

EXTRA SHIPPING INFORMATION (optional):
Number of Pieces:  
Description of Goods:  
cWeight (Subjet to ReWeigh):  
Dimensions (L x W x H):  
Declared Value Insurance:  

EXTRA SHIPPING INFORMATION (optional):
Number of Pieces:  
Description of Goods:  
Weight (Subject to ReWeigh):  
Dimensions (L x W x H):  
Declared Value Insurance:  


SHIPPING DATE/TIME INFORMATION:
Pickup Date:  
Time:  
Delivery Date:  
Time:  


TSA Certified?
   
No


SPECIAL INSTRUCTIONS:
   


PAYMENT INFORMATION:
Billing Street Address:  
Billing City:  
Billiing State:  
Billing Zip:  
Card Type:  
Card Number:  
Name on Card:  
Expiration Date:  
Verification Number:  



CSI is a Member with: Scottsdale CVB, Tuscon CVB, Greater Phoenix CVB, Chandler CVB, MPI, HSMAI

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