Testing dispatch form

Dispatch Date*
MM slash DD slash YYYY
Requested by:*
Phone
Email*
PO Number
Shipment Billing*
- Prepaid
- Collect
Shipment Type*
- Air
- Ground
Shipper Information
Account #
Company name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Shipment Pickup Location*
The pickup location is required in order to forward your package information to the correct dispatcher. It is limited to the locations where Altimax Courier services are available
Contact
Phone
Extension
Closing time
Ready time
Consignee Information
Account #
Company name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Pieces of information and other requirements
Total pieces
Total weight
Dimensions
Packages

Packages

Length	Width	Height

Click the "+" sign to the right in order to add more package dimensions.

Shipper Information