Shipment Detail Checklist - PTS Diagnostics

Company Name *

Email Address *

Order Number *

1. Indicate the shipping account to be billed. Please check appropriate box. *

PTS Diagnostics account
Collect (Buyer’s account)

PTS Diagnostics’ account:
• If pre-payment is required, an estimated quote will be provided and must be paid prior to shipment* Estimated Freight Quote will be provided from a single carrier
• PTS Diagnostics reserves the right to choose a carrier and must insure products in accordance with the table below.
• Shipments are FCA Origin (Whitestown, IN) or EXW Origin (Whitestown, IN)

Please see the Declared Value Criteria (Insurance) for International Shipments
Shipping on PTS Diagnostics’ Account
Sales Order Value <$1000.00 - No insurance
Sales Order Value >$1000.00 - Insure at full value
Collect (Buyer’s account) - Please provide Parcel and LTL carrier below:

Shipments are FCA Origin (Whitestown, IN) or EXW Origin (Whitestown, IN)
Enter N/A for the Carrier fields IF one selects PTS Diagnostics account

Parcel Carrier:

Please provide Carrier Name *

Please provide Carrier Phone Number *

Please provide Carrier Account Number *

Please provide Carrier's contact name and email address *

LTL (Less than a truckload) Carrier:

Please provide Carrier Name *

Please provide Carrier Phone Number *

Please provide Carrier Account Number *

Please provide Carrier's contact name and email address *

Is the order/shipment(s) to be Insured? *

Yes
No

(Selecting No indicates shipments(s) for this order will not be insured and no Declared Value will be entered.)

If Yes, please provide the Declared Value (Insurance) to enter for the shipment(s):

Declared Value (Insurance) *

2. Requested Delivery Date (Specify the date you expect the shipment to be delivered) *

3. How would you like your order shipped? Please check appropriate box. *

Palletized
Loose boxes

*Please note orders totaling 6+ boxes, will ship palletized*

4. Do you require a shipping method for a product that differs from the standard PTS shipment method, i.e. do you require products to ship cold chain? Please note: A prearranged cold storage facility and refrigerated truck are required for delivery at the destination. ** (There are additional costs for this option if Yes is checked.) ** *

Yes
No

If yes, please provide the shipping method you require for your order below:

Shipping Method Required *

5. If there is a backorder, how would you like to proceed? *

Partial Shipment will be accepted
Wait and ship complete

6. All shipments will include the following: Commercial / Proforma Invoice, SED for orders greater than $2500.00, and a Packing slip *

7. Is documentation required to be stamped or apostilled/legalized/attested? *

Yes
No

If yes, please indicate which documents and the address to ship the documents below:

7. Documentation and Address *

8. Submit

Once you have filled out all the necessary fields, click on Submit to finalize your shipment details.

Make sure to follow this comprehensive checklist to ensure a smooth and hassle-free shipping process for your customers.

Parcel Carrier:

LTL (Less than a truckload) Carrier:

8. Submit

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