Custom Rates Request

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Product Information

NSX/License*

Product*

Contact Information

Contact Name*

Email*

Company*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Custom Rate Request

Custom Rates

UPS Custom Rates

Clippership Domestic Rates

Clippership International Rates

Custom Rates

FlagShip Domestic

FlagShip International

FlagShip Generic (LTL)

FlagShip Generic (Ratrix)

FlagShip Generic (Other)

Total

PO Number*

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Order Request Terms

By placing your purchase order number in the box above, you are authorizing BluJay Solutions ("BluJay") to fulfill your custom rate change based on the information you have provided. Erroneous data or non-standard work may cause BluJay to provide additional services upon your approval at BluJay's time and material rates then in effect. After submitting this form a BluJay analyst will be contacting you shortly to request the necessary files to fulfill your custom rates order.

Name

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