Customer Service Phone: Domestic toll free: 1800-585835 (press 1) Int’l contact: 848-39480 370 (press 1) REMOTE PICKUP REQUEST Date: Fax: 848-39484 705 Email: rpi@sbs-fedex.com PLEASE EMAIL BACK TO: rpi@sbs-fedex.com We are glad to assist you in arranging the pickup of your shipment abroad Please note our pickup service depends on the local procedure and package readiness at origin The information mentioned below will be entered in our worldwide booking system Please ensure the information is accurate, complete and all necessary paperwork is ready If the pickup request is accepted, it is your responsibility to alert the sender that FedEx will be picking up the shipment Please arrange pickup from the following address: Company Name: Address + Country: Postal Code/ZIP: Contact Person: Telephone number: Cellular/Mobile number: Email address: Commodity: (Optional) Package ready as from (date): Service Type Requested: International Priority International First Weight per package Declared Value for Customs Currency: and time: : (pickup time as per local procedure) International Priority Freight International Economy Service (IES); if applicable kg lbs Dimensions per package inches cms Number of Packages/Skids (Optional) Declared Value for Carriage Currency: Please Deliver To: Company Name: Address + Country: Postal Code/ZIP: Contact Person: Telephone number: Cellular/Mobile number: FedEx Account number to be charged: My FedEx Account Number (if different from payor): My name and direct phone number (ext): My email address (to receive confirmation of booking #): I agree that the determination of the final chargeable weight of the shipment will be made by FedEx and further agree to be liable for all charges and fees related to this shipment, if so designated or in case a designated payor refuses any payment Send Signature: Company Stamp: