TI M E /DA T E ST A M P
DO NOT WRITE IN THIS AREA
I N Q U I R Y N O.
1/16/13 15:36
Print 3 Copies
49838417
1 C L IEN T I N F O R M AT I ON
R EQ U E ST E D BY ( LAS T NAME, F IR ST N A M E, M IDDLE IN ITIA L)
D E P A R T M E NT
A D DRESS
FLOOR/ ROOM
SCHOOL
PHONE
FAX
DATE
/
ACCOUNT
FUND
OR G A NIZA T IO N
PROGRAM
PROJECT
A UT H O R I Z A T I O N S I G N A T UR E
/
D E A N /D E P T H E A D
X
2 S EL EC T S H I P P I NG SERVI CES
D O M E S T I C S E R VI CES
USPS
UPS
U S PS EX TR A S ER V IC ES
FIRST CLASS
CE RTIFIED
GROUND
PRIOR I TY MAI L
RE TURN RECEIPT
NEXT DAY MORNING DELIVERY
ST A NDARD (2 0 0 Pieces Min im um)
RE GISTERED
NEXT DAY SAVER, AFTERNOON DELIVERY
M ED IA MAI L
INS URED
SECOND DAY
EX PRESS MAI L (USPS La b el Required)
Value $ __________________________________________________
SATURDAY DELIVERY
#
__________________________________________________
IN TERN A T I O N AL SERVI CES
( Ad d re ss l a b e l m u s t i n c l u d e c o u n t r y n a m e a n d p h o n e n u m b e r )
USPS
UPS
U SPS EXTR A S ER V IC ES
AIR MAI L
REGISTERED
WORLDWIDE EXPRESS (1–3 Business Days Delivery)
GL OBAL PRI ORI TY *
RE TURN RECEIPT
WORLDWIDE SAVER (1–3 Business Days PM Delivery)
M -B AG *
WORLDWIDE EXPEDITED (2–5 Business Days Delivery)
EXPRESS MAI L (USPS La b el Required)
STANDARD (Canada Only– Date Def ined Delivery)
#
__________________________________________________
* U SPS Custo ms Decla ra t ion Form ( 2 9 7 6 - A) Re q uire d
3 S PEC I A L I N S T R U CT I ON S
F O R LO G I S TI C S & D IST R IB U T ION SERVICES
(Do not write below this line)
REC EI VED
D A TE
/
NO. OF PIEC E S
/
TIME
WEIGHT
TOTAL
For addi t i onal i nf or m at i on / a s s i s t a n c e p l e a s e c o n t a c t N Y U L o g i s t i c s & D i s t ri b u t i o n @ X8 1 0 1 0
TI M E /DA T E ST A M P
DO NOT WRITE IN THIS AREA
I N Q U I R Y N O.
1/16/13 15:36
Print 3 Copies
49838417
1 C L IEN T I N F O R M AT I ON
R EQ U E ST E D BY ( LAS T NAME, F IR ST N A M E, M IDDLE IN ITIA L)
D E P A R T M E NT
A D DRESS
FLOOR/ ROOM
SCHOOL
PHONE
FAX
DATE
/
ACCOUNT
FUND
OR G A NIZA T IO N
PROGRAM
PROJECT
A UT H O R I Z A T I O N S I G N A T UR E
/
D E A N /D E P T H E A D
X
2 S EL EC T S H I P P I NG SERVI CES
D O M E S T I C S E R VI CES
USPS
UPS
U S PS EX TR A S ER V IC ES
FIRST CLASS
CE RTIFIED
GROUND
PRIOR I TY MAI L
RE TURN RECEIPT
NEXT DAY MORNING DELIVERY
ST A NDARD (2 0 0 Pieces Min im um)
RE GISTERED
NEXT DAY SAVER, AFTERNOON DELIVERY
M ED IA MAI L
INS URED
SECOND DAY
EX PRESS MAI L (USPS La b el Required)
Value $ __________________________________________________
SATURDAY DELIVERY
#
__________________________________________________
IN TERN A T I O N AL SERVI CES
( Ad d re ss l a b e l m u s t i n c l u d e c o u n t r y n a m e a n d p h o n e n u m b e r )
USPS
UPS
U SPS EXTR A S ER V IC ES
AIR MAI L
REGISTERED
WORLDWIDE EXPRESS (1–3 Business Days Delivery)
GL OBAL PRI ORI TY *
RE TURN RECEIPT
WORLDWIDE SAVER (1–3 Business Days PM Delivery)
M -B AG *
WORLDWIDE EXPEDITED (2–5 Business Days Delivery)
EXPRESS MAI L (USPS La b el Required)
STANDARD (Canada Only– Date Def ined Delivery)
#
__________________________________________________
* U SPS Custo ms Decla ra t ion Form ( 2 9 7 6 - A) Re q uire d
3 S PEC I A L I N S T R U CT I ON S
F O R LO G I S TI C S & D IST R IB U T ION SERVICES
(Do not write below this line)
REC EI VED
D A TE
/
NO. OF PIEC E S
/
TIME
WEIGHT
TOTAL
For addi t i onal i nf or m at i on / a s s i s t a n c e p l e a s e c o n t a c t N Y U L o g i s t i c s & D i s t ri b u t i o n @ X8 1 0 1 0
TI M E /DA T E ST A M P
DO NOT WRITE IN THIS AREA
I N Q U I R Y N O.
1/16/13 15:36
Print 3 Copies
49838417
1 C L IEN T I N F O R M AT I ON
R EQ U E ST E D BY ( LAS T NAME, F IR ST N A M E, M IDDLE IN ITIA L)
D E P A R T M E NT
A D DRESS
FLOOR/ ROOM
SCHOOL
PHONE
FAX
DATE
/
ACCOUNT
FUND
OR G A NIZA T IO N
PROGRAM
PROJECT
A UT H O R I Z A T I O N S I G N A T UR E
/
D E A N /D E P T H E A D
X
2 S EL EC T S H I P P I NG SERVI CES
D O M E S T I C S E R VI CES
USPS
UPS
U S PS EX TR A S ER V IC ES
FIRST CLASS
CE RTIFIED
GROUND
PRIOR I TY MAI L
RE TURN RECEIPT
NEXT DAY MORNING DELIVERY
ST A NDARD (2 0 0 Pieces Min im um)
RE GISTERED
NEXT DAY SAVER, AFTERNOON DELIVERY
M ED IA MAI L
INS URED
SECOND DAY
EX PRESS MAI L (USPS La b el Required)
Value $ __________________________________________________
SATURDAY DELIVERY
#
__________________________________________________
IN TERN A T I O N AL SERVI CES
( Ad d re ss l a b e l m u s t i n c l u d e c o u n t r y n a m e a n d p h o n e n u m b e r )
USPS
UPS
U SPS EXTR A S ER V IC ES
AIR MAI L
REGISTERED
WORLDWIDE EXPRESS (1–3 Business Days Delivery)
GL OBAL PRI ORI TY *
RE TURN RECEIPT
WORLDWIDE SAVER (1–3 Business Days PM Delivery)
M -B AG *
WORLDWIDE EXPEDITED (2–5 Business Days Delivery)
EXPRESS MAI L (USPS La b el Required)
STANDARD (Canada Only– Date Def ined Delivery)
#
__________________________________________________
* U SPS Custo ms Decla ra t ion Form ( 2 9 7 6 - A) Re q uire d
3 S PEC I A L I N S T R U CT I ON S
F O R LO G I S TI C S & D IST R IB U T ION SERVICES
(Do not write below this line)
REC EI VED
D A TE
/
NO. OF PIEC E S
/
TIME
WEIGHT
TOTAL
For addi t i onal i nf or m at i on / a s s i s t a n c e p l e a s e c o n t a c t N Y U L o g i s t i c s & D i s t ri b u t i o n @ X8 1 0 1 0