(Attach this form to each item being sent FedEx)

FedEx Request Form
www.fedex.com

SENDER:						 						

DATE __________________

NAME __________________________________PHONE #________________________________

DEPT. __________________________________ALTERNATE CONTACT____________________

E-MAIL ADDRESS ________________________________________________________________

PEOPLESOFT ACCOUNT #_________________________________________________________

RECIPIENT:  (Federal Express does not deliver to Post Office Box addresses.)

NAME ___________________________________PHONE #_______________________________

COMPANY ______________________________________________________________________

ADDRESS ______________________________________________________________________

CITY ___________________________________________ STATE________ZIP CODE_________

BILL TO:	(   )	SENDER	(   )	RECIPIENT ACCOUNT#___________________________

					(   )	3RD PARTY ACCOUNT #___________________________

TYPE OF SERVICE REQUESTED:

(   )	PRIORITY OVERNIGHT – 10:30 A.M.		(   )	STANDARD OVERNIGHT – 3:30 P.M.
					  Delivery							    Delivery
(   )	ECONOMY TWO-DAY				(   )	INTERNATIONAL	phone number required  

(   )	SATURDAY DELIVERY	$15 additional charge with PRIORITY OVERNIGHT service only  
          (if service is available to destination)

SPECIAL INSTRUCTIONS:
( ) Waive signature 
( ) E-mail tracking number 
( ) Other _____________________________________________________________________________

						www.fedex.com