Domestic Shipping Request Form

Domestic Shipping Request Form

Please Fill Out Entirely
Requester Name *

First Name Last Name
Requester Email *
example@example.com
Requester Phone Number *

Area Code Phone Number
Faculty/PI Name *

First Name Last Name
Request Date *

Month Day Year
Date
Please give at least 24 hours from request date until shipping date, business days only. The AU ships Monday through Wednesday. If it is necessary to ship during a non-standard time, please contact the AU Manager at Thad.Gurley@duke.edu.
Shipment Date

Month Day Year

End of Section
Recipient Phone Number *

Area Code Phone Number
Company/University Name *
Recipient Address *
Please include: name, company, street address, city, state, postal code, phone number
Funding Source

Third Party FedEx Account Fund Code