Special Service Freight Company of the Carolinas

Expedited Trucking & Air Freight Trucking Throughout 48 States & Canada

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Delivery/Pickup Alert Form

Please complete the form fields, hit Generate, then print and fax the document to the appropriate station. Fax numbers will appear on the next page.

Thank You!

A L E R T

Service Order:
Order Date:
Carrier:
Master Airway Bill #:
Reference #:

Shipper:
Company Name:
Street Address:
City: State: Zip:
Contact Name:
Phone #:
Account #:

Consignee:
Company Name:
Street Address:
City: State: Zip:
Contact Name:
Phone #:

Bill to:          SAME AS SHIPPER
Company Name:
Street Address:
City:          State:             Zip:
Contact Name:
Phone #:
Account #:

#	Pieces	Description (50 characters max)	Gross Wt	Act Wt
1
2
3
4

Special Instructions - Dimensions, Handling, Directions, Receiving, etc.
(enter all instructions on a single line - 1100 characters max)

Valuation Statement - Notice: Unless a higher value is declared, the shipper hereby releases the Property to a value of 50 cents per lb, subject to $50.00 max.

Declared Value: $ (charged at $0.75 per $100 DV)

Service subject to Special Service Rates, Tariffs & Rules, in effect on
date of shipment and to conditions of Contract

Corporate Office
3100 Yorkmont Road
Charlotte, N.C. 28208
Phone: 704-587-0001
Toll Free: 800-777-6068
Fax: 704-587-0966
Email: