ROUTING FORM

INSTRUCTIONS

To schedule a pick up, complete this form and submit to your sales rep, [email protected] or fax to 866.213.1843

Do not ship goods until instructed by Reflex.

PO #	Total Units	Case Pack	Carton Count	Weight	Cubic Feet	Total Pallets	Pallet Height	Shipping Class

SHIPMENT INFORMATION

Ready Date:		Floor Loaded:	YN
Harmonized Tariff Code: 10 Digit Schedule B Number *Only include for Exported Orders		Pallets Stackable:	YN

SPECIAL INSTRUCTIONS

FINAL CHECKLIST

All Invoices and Price lists have been removed from shipment:	Y	Cartons and Pallets are prepared in an organized manner:	Y
All product is first quality merchandise and in sellable form:	Y	Warehouse agrees to use BOL provided by Reflex:	Y

CONTACT INFORMATION

Warehouse Name:	Phone:
Contact Name:	Fax:
Address:	Email:
City, State, Zip:	Business Hours:	to
Routing Completed By:	Signature

Routing Form

Vendor Name
Category of Goods

Pick Up Address

Warehouse Name
Phone Number

Warehouse Address
City, State, Zip

Warehouse Contact
Email

Hours
Ready Date

Notes

Attach Packing List in Excel
If there is more than 1 Purchase Order, please click ‘Add PO line’ below and enter the accurate data for each PO

PO #	Total Units	Carton Count	Total Weight (lbs)	Total Pallets	Tallest Pallet Height	Pallets Stackable	Total Cubic Feet	Shipping Class

All invoices and packing lists been removed from the physical shipmentAll goods are first quality merchandise and in sellable condition, unless otherwise noted on POCartons & pallets are prepared in an organized mannerWarehouse agrees to use only BOL provided by ReflexWarehouse agrees not to ship any orders until instructed and approved by Reflex

Approved and Signed by

ROUTING FORM

INSTRUCTIONS

Routing Form

Pick Up Address

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