UNM Biology Package Request

UNM Biology Package Request

Requester Name*

Requestor Email*

PI Name

If different from above

Sender's Name*

Sender's Phone Number*

Index to Charge*

Shipment Type*

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Date of Shipment*

Recipient's Name*

Recipient's Phone Number *

Shipping Address*

Type of Packaging*

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Total Weight of Package (incl. dry ice) lbs.oz*

(Ex 3.6)

Dry Ice

Dry ice weight*

Dimensions of Package*

Ex. 5x5x5

Shipping Method*

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What are you shipping?

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Type of Document

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Item Description

Unit of Measure

Quantity

Shipment Purpose

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Customs Value

Special Request (Select all that apply)

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Declared Value Amount

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