Test Page - FIU College of Engineering and Computing

Test Pages

Requester's Name - Your Name*

Your Name

Requestor's FIU Email - Your Email*

Requestor's FIU Email

Requestor's Number - Your Number*

305.348.xxxx

Select your Office*

Requestor's Comments - Your Comments:

Receiver's Company or Name*

Package Receiver's Company or Name

Receiver's Contact

Package Receiver's Contact

Receiver's City*

Package Receiver's City

Country or Territory*

Package Receiver's Country or Territory

State*

Package Receiver's State

Address Line 1*

Package Receiver's Address

Zip Code*

Package Receiver's Zip Code

Address Line 2

Package Receiver's Apartment, Suite, Unit, Building, Floor etc....

Telephone

Package Receiver's phone number

Extension

Package Receiver's telephone extension

Address Line 3

Package Receiver's Department etc.

E-mail

Package Receiver's Email

Packaging Type*

Package Declared Value*

UPS's liability for loss or damage is limited to US$100 without a declaration of value (limit may vary for non-U.S. origin shipments). To increase UPS’s liability, you must declare a higher value and pay an additional charge. Refer to the UPS Terms and Conditions of the origin country for complete details.

Does this package include batteries? YesNo

Authorize Delivery without Signature YesNo

Selecting Yes would imply package can be left without signature