Unitrans Worldwide - Schedule Pickup

DATE	SHIPPING NUMBER

PICKUP TIME	NO. SHIPMENTS

TERMS AND CONDITIONS OF SERVICE

COMPLETE FORM AND SUBMIT USING SUBMIT BUTTON BELOW

SHIPPER NAME
COMPANY
ADDRESS
ADDRESS
CITY/STATE/ZIP
EMAIL
SHIPPERS REFERENCE
PHONE NO.

ATTENTION
COMPANY
STREET ADDRESS	(CANNOT DELIVER TO P.O. BOX)
ADDRESS
CITY/STATE/ZIP
RECIPIENTS REFERENCE
PHONE NO.

BILL TO CHARGES
SHIPPER
RECIPIENT

THIRD
PARTY
BILLING

COMPANY		AUTHORIZATION
ADDRESS
ADDRESS		PHONE
CITY/STATE/ZIP

INSURANCE

DECLARED VALUE OF EACH PIECE(S) SEPARATELY, MAXIMUM VALUE FOR CARRIAGE IS $25,000 WITHOUT PRIOR WRITTEN AUTHORIZATION. CLICK HERE TO SEE CONDITIONS OF CONTRACT ($0.65 PER $100.00)

NO DELIVERY SIGNATURE REQUIRED
Shipper releases UNITRANS from all liability resulting from any claim regardless if any value is declared.

PIECES	DESCRIPTION OF CONTENTS/VALUE	WEIGHT	LENGTH	WIDTH	HEIGHT	CUBIC INCHES	CUBIC WEIGHT

WEIGHT SUBJECT TO CORRECTION

TOTAL CHARGEABLE WEIGHT

DELIVERY AND SPECIAL HANDLING INSTRUCTIONS

FREIGHT SERVICE (over 100 lbs.)

SMALL PACKAGE SERVICE

	ADDITIONAL CHARGES APPLY:
NEXT DAY	SATURDAY DELIVERY
2-DAY	NFO/SAME DAY
3-5 DAY	INTERNATIONAL
OTHER	CHARTER

NEXT BUSINESS DAY	2ND BUSINESS DAY
Letterpack (9x12 envelope) Package (1-100 lbs.)	Letterpack (9x12 envelope) Package (1-100 lbs.)

ADDITIONAL
CHARGES
APPLY
FOR:

	9 AM Next Business Day
	NFO/Same Day
	Saturday Delivery
	International (prepaid documents only)
	On Board Courier

* CONSULT WITH UNITRANS MEMO TARIFF FOR SPECIFIC SERVICES, CHARGES AND DESTINALTIONS SERVICED. NOT ALL SERVICES ARE AVAILABLE TO ALL LOCATIONS.

NON-NEGOTIABLE SHIPPING DOCUMENT