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Customer Information

*First Name:
*Last Name:
*Street Address:
*State: *Zip:
*Phone: () -
Fax: () -

Carton Information

Please give us a
brief description of what
you wish to ship:
Length: X Width: X Height: (in)
Number of Item(s) in box:
Total weight in box: (lbs)
Will box be filled to the top? Yes No
Is the item fragile? Yes No

Shipping Information

# of Individual Cartons:
Method of Shipment: UPS
US Postal Service
Common Carrier
Rail Freight

Box Materials & Printing

Which box material
do you prefer?
Kraft Liner (standard brown)
Is printing required? Yes No
If yes, could you supply
camera-ready art or logo work?
Yes No
Number of box panels to be printed:
Quantity of cartons you expect to order:

Comments? Questions? Concerns?

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