Material Submission Form

INSTRUCTIONS

Please complete this materials submission form.

IMPORTANT

Print a copy of this form BEFORE hitting "Submit" to include in your package when sending your material.

Date of Shipment

YYYY

Carrier Information

Please let us know which company you are using to ship your package (USPS, UPS, FedEx, etc.)

Package Tracking Number(s)

If you have already printed a label, or shipped your package, please include the tracking number.

Customer Information

Name

First Name

Last Name

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number and Extension

For numbers outside US, include country code.

Fax

Email Address

Settlement Option

Please select how you would like to settle your lot

Material Information

Description of Material

Please select the type of material being submitted. If other, please describe below.

Other Information/Special Instructions

Net Weight for Processing

Net weight of material to be processed (less any packaging). Select unit of measure next.

Unit of measure (select)

IMPORTANT

Print a copy of this form BEFORE hitting "Submit" to include in your package when sending your material.

specialtymetals