{% 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