Fedex Pickup Request.pdf

Customer Service Phone: 800 580 0895

REMOTE PICKUP REQUEST

Fax: 901 263 1573 Email: [email protected]

Date:

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PLEASE EMAIL BACK TO: [email protected] Complete this form to request that FedEx Express pickup your shipment when the pickup location is in another country AND your shipment is not returning to the U.S. We are glad to assist you in arranging the pickup of your shipment abroad. Please note this service is not guaranteed as our pickup service depends on the local procedure and package readiness at origin. The information mentioned below will be entered in our worldwide pickup system. Please ensure the information is accurate, complete and all necessary paperwork is ready. If the pickup request is accepted, it is your responsibility to alert the sender that FedEx will be picking up the shipment.

Please arrange pickup from the following address: Company Name: Address + Country:

Postal Code/ZIP: Contact Person: Telephone number: Cellular/Mobile number: Email address: Commodity: Package ready date:

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Service Type Requested: Weight/Dimensions

✔ Kg

and time:

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International Priority International First

(pickup time as per local procedure)

International Priority Freight ✔ International Economy Service

Number of Packages/Skids

Pound

:

Declared Value for Customs Currency:

Declared Value for Carriage Currency:

Please Deliver To: Company Name: Address + Country:

Postal Code/ZIP: Contact Person: Telephone number: Cellular/Mobile number: FedEx account number to be charged for transportation charges: My Fedex Account Number (if different from payor): My name and direct phone number: My email address (to receive confirmation of pickup #): I agree that the determination of the final chargeable weight of the shipment will be made by FedEx. The shipper (or the person who pays for transportation charges) is responsible for paying the chargeable weight. If account number of payor is not valid at time of billing all transportation charges will be billed to my FedEx account number.

Signature:

Date:

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Company Stamp: