AES Order System

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Shipper (From):		Charge
Address:
City:
State:
Zip Code:
Ref. #:
Phone #:
Email (for confirmation):
Cosignee (To):		Charge
Address:
City:
State:
Zip Code:
Ref. #:
Delivery Terms:		1 - 1.5 Hour 2 Hour 3 Hour Stat Route
3rd Party Charge:   Charge Address:   City:   State:   Zip Code:   Ref. #:   Phone #:   Email (for confirmation):
Declared Value If no value declared, $.50 per lb./max.  $50.00

Item 1 No. of Pieces   Description of Goods   Special Instructions   Weight

Item 2 No. of Pieces   Description of Goods   Special Instructions   Weight

Item 3 No. of Pieces   Description of Goods   Special Instructions   Weight

Item 4 No. of Pieces   Description of Goods   Special Instructions   Weight