{% load static %} {% load settings %}
image

Shipping Order

FORM
Auto-generated by MxLIVE
Based on: CLS Doc. 0.11.1.19 Rev. 5

Shipper's Name:DATE
CLSI Department:{{admin_project.department|cut:"None"|default:""}}{% now "F d, Y" %}
Account #:
Phone:

SHIP TO: (Consignee)
Company's Name: {{ project.department|cut:"None"|default:"" }}, {{ project.organisation|cut:"None"|default:"" }}
Street Address: {{ project.address|cut:"None"|default:"" }}
City / State / Province: {{ project.city|cut:"None"|default:"" }}{% if project.city and project.province %} ,{% endif %}{{ project.province|cut:"None"|default:"" }}
Country / Postal Code: {{ project.country|cut:"None"|default:"" }}, {{ project.postal_code|cut:"None"|default:"" }}

Att: (Contact Person)Phone Number
{{ project.contact_person|cut:"None"|default:"" }}{{ project.contact_phone|cut:"None"|default:"" }}
Consignee's CourierCourier Account #Federal Tax Number (USA)
{{ project.carrier.name|cut:"None"|default:"" }}{{ project.account_number|cut:"None"|default:"" }}
□ On Loan □ Chargeable Repair □ Return to Vendor ■ Return to Owner
□ Return of Loan □ US Goods Returned □ Warranty Repair □ Other (explain below)
RMA#Other:
QTY DESCRIPTION Country of Origin Total Value
Non-Hazardous Frozen Protein Samples in Dry Shipping Dewar {{ project.country|cut:"None"|default:"" }}$200
 
 
 
 
 
 
 
H.S. Code:
Total Items Shipment Weights TOTAL:$
  KGS LBS


Total Weight
USD$   CAD$   Euro$


Other (explain below)
 
Does this shipment contain any of the following hazards?
YesNoYesNoYesNo
Explosives Flammable Liquid Poisonous Material
Flammable Combustible Liquid Poisonous Gas
Corrosive Material Flammable Solids Radioactive Material
Organic Peroxides Dangerous-When-Wet Oxidizer
Infectious Substance Spontaneously Combustible Liquid
Lithium Metal Battery Nonflammable Compressed Gas
Lithium Ion Battery
Canadian Light Source · 44 Innovation Boulevard · University of Saskatchewan, Saskatoon, SK Canada · S7N 2V3