StartPreviewComplete DATE: EXPORTER INFORMATION: Exporter's Name (name of MME faculty member) Email Address Prepared By (if not the faculty member) Preparer's Email Address RECIPIENT (SHIP TO) INFORMATION: Recipient (Ship To) Information Name Name of the contact person. Company Email Phone Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Country - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands SHIPPING DETAILS: Are you shipping physical items (not documents) outside of Canada? Yes No Please enter the Harmonized System (HS) code for the item(s) being shipped: HS codes are required for international shipments of physical goods. If you do not know the code, you can look it up here: https://www.tariffinder.ca/en/getStarted PACKAGE INFORMATION: Shipment Reason Shipment Reason - None -EstimateExchangeRepair and chargeWarrantyOther… Enter other… Special Instructions Insurance Amount (CAD) Description Include serial numbers, detailed description of the item, and end use. Country of Manufacture Item Value (CAD) IMPORTANT NOTE: When filling out the Item Value, Quantity, and Unit of Measure, think about how you're counting and pricing your item. Example 1: A box of 12 pencils Each pencil is worth $1.00 You have 12 pencils You measure it by each pencil So the total value = 12 × $1.00 = $12 The system will calculate the total value of the box as $12. Quantity Unit of Measure Example: box, piece, roll, case, etc. Return Authorization (RMA#) Original UW PO # AUTHORIZATION Fund Code (000) - Select -(100) Operating(103) Trust(105) Research(106) Endowment Work Order (00000-00000) Example: 54321-12345 Activity Code (000) Examples: (500) Research, (202) Returned Overhead Work Order Signing Authority Name/PI-Principal Investigator Example: John Doe ACCOUNT AUTHORIZATION CONFIRMATION I confirm: - Select -I am the faculty member listed above and I authorize the use of the account number above for this shipping request.I am the preparer acting on behalf of the faculty member (listed above) and hereby confirm that the faculty member provided the account number (above) and authorized its use for this shipping request. SHIPPING INSTRUCTIONS If the item is portable, please bring it to the MME main office (E5 3001). If the shipment involves a large crate, heavy equipment, a skid, or requires LTL transport, please contact Trevor Beatson at tbeatson@uwaterloo.ca who will arrange for pickup Important Notes: Shipments cannot be sent to international P.O. boxes. Duty and taxes assessed by Canadian or international customs are the responsibility of the exporter. For questions or assistance, please contact the UW Customs Co-ordinator, Lirong Liu, at l65liu@uwaterloo.ca. Chemicals (including samples) may require further documentation as set out by Transport Canada and Transportation of Dangerous Goods (TDG). Information and forms can be found on the Central Stores 2SHIP website. Please ensure completed documents are sent with the request to ship. If you have further questions regarding the classification of your shipment, please contact Steven Ciuffetelli sciuffetelli@uwaterloo.ca in the Safety Office. Leave this field blank
StartPreviewComplete DATE: EXPORTER INFORMATION: Exporter's Name (name of MME faculty member) Email Address Prepared By (if not the faculty member) Preparer's Email Address RECIPIENT (SHIP TO) INFORMATION: Recipient (Ship To) Information Name Name of the contact person. Company Email Phone Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Country - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands SHIPPING DETAILS: Are you shipping physical items (not documents) outside of Canada? Yes No Please enter the Harmonized System (HS) code for the item(s) being shipped: HS codes are required for international shipments of physical goods. If you do not know the code, you can look it up here: https://www.tariffinder.ca/en/getStarted PACKAGE INFORMATION: Shipment Reason Shipment Reason - None -EstimateExchangeRepair and chargeWarrantyOther… Enter other… Special Instructions Insurance Amount (CAD) Description Include serial numbers, detailed description of the item, and end use. Country of Manufacture Item Value (CAD) IMPORTANT NOTE: When filling out the Item Value, Quantity, and Unit of Measure, think about how you're counting and pricing your item. Example 1: A box of 12 pencils Each pencil is worth $1.00 You have 12 pencils You measure it by each pencil So the total value = 12 × $1.00 = $12 The system will calculate the total value of the box as $12. Quantity Unit of Measure Example: box, piece, roll, case, etc. Return Authorization (RMA#) Original UW PO # AUTHORIZATION Fund Code (000) - Select -(100) Operating(103) Trust(105) Research(106) Endowment Work Order (00000-00000) Example: 54321-12345 Activity Code (000) Examples: (500) Research, (202) Returned Overhead Work Order Signing Authority Name/PI-Principal Investigator Example: John Doe ACCOUNT AUTHORIZATION CONFIRMATION I confirm: - Select -I am the faculty member listed above and I authorize the use of the account number above for this shipping request.I am the preparer acting on behalf of the faculty member (listed above) and hereby confirm that the faculty member provided the account number (above) and authorized its use for this shipping request. SHIPPING INSTRUCTIONS If the item is portable, please bring it to the MME main office (E5 3001). If the shipment involves a large crate, heavy equipment, a skid, or requires LTL transport, please contact Trevor Beatson at tbeatson@uwaterloo.ca who will arrange for pickup Important Notes: Shipments cannot be sent to international P.O. boxes. Duty and taxes assessed by Canadian or international customs are the responsibility of the exporter. For questions or assistance, please contact the UW Customs Co-ordinator, Lirong Liu, at l65liu@uwaterloo.ca. Chemicals (including samples) may require further documentation as set out by Transport Canada and Transportation of Dangerous Goods (TDG). Information and forms can be found on the Central Stores 2SHIP website. Please ensure completed documents are sent with the request to ship. If you have further questions regarding the classification of your shipment, please contact Steven Ciuffetelli sciuffetelli@uwaterloo.ca in the Safety Office. Leave this field blank