UN COURIER DELIVERY®
USA HEAD OFFICE:
#760 United Nations Plaza, Manhattan, New York City, USA .
E-Mail: info@[Link]
Website: [Link]
Phone: (609) 256 8675
Fax: (212) 702 4300
CONSIGNEE FORM
This form should be completed by the consignee and returned by fax or e-mail.
Personal Details:
Full Names ______________________________________________________________
Residential/Office address __________________________________________________
City_________________________________State_______________________________
Zip/Postal Code_____________________ Country ______________________________
Phone _______________________________ Fax ______________________________
Sex __________________________________Age ______________________________
Delivery Details:
Delivery address__________________________________________________________
City_______________________________________State_________________________
Zip/Postal Code ______________________Country _____________________________
Phone ___________________________________ Fax __________________________
I confirm that all the information above is correct to my knowledge.
Signature ______________________