FUSEPOINT SHIPPING

Shipping Form
Please fill out this form and read shipping policy at the end of the form

Shipper

Last Name

Middle Initial

First Name

Address City State Zip Code

Email Address

Phone Number

Identification (Driver License/State ID/Passport) No:

Issue State and Date of Expire:

Receiver

Last Name

Middle Initial

First Name

Address

City

State

Zip Code

Email Address

Phone Number

Identification (Driver License/State ID/Passport) No:

Issue State and Date of Expire:

FUSEPOINT SHIPPING
Shipping Form
Please fill out this form and read shipping policy at the end of the form Shipping Details/Content Please describe you package briefly here:

Value in Dollar $__________

Weight (lb)

Hazardous goods (Yes/No)

Insurance Coverage: Yes ____ Declined______

Other Comments:

TSA inspection and Administration Inspection consent:

United States Transport Security Administration requires that all active Indirect Air Carriers (IAC) must receive consent from shipper for the inspection of their cargo. IAC will refuse to offer any transportation by air of any cargo shipment if the shipper does not consent to an inspection of the cargo as required under the IAC Standard Security Program. This Standard Security measures are not taken with levity hands, if any of its content is violated or not complied, Fusepoint Shipping will not be able to send your packages through Air Cargo. By signing below, you authorize Fusepoint to inspect the cargo being shipped and liable for any inconsistent in the information provided above. Signature __________________________ Date_____________________