Testing Form For MAKE – Teranga Shipping Services

Full Name *

Phone *

Sending From/Package Origin *Enter the country you are sending your package from

Destination *Enter the country you are sending your package to

Receiver Name *Enter name of person who is receiving item/package

Receiver's Phone *Enter receivers phone information

Domestic Shipping?Is this being shipped or is it for local pickup

Receiver Shipping Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Estimated Weight (lbs)Enter the estimated weight in pounds. If you're not sure, leave this blank — we'll weigh it for you at the store.

Total CostEnter price of the package($/lbs * Weight(lbs))

USD

What are you shipping? *Enter the type of items you are shipping

General GoodsElectronicsJewelryAutoparts

Please list the specific items you're sending *

Upload pictures of package *You can upload up to 3 images or PDFs of your package (e.g. front, side, contents). Accepted formats: JPG, PNG, PDF. Max file size: 8MB each.

Date Received *

Shipment DateEnter the date the packages will be shipped

UPS Fee/InsuranceWoudl you like an insurance package($) for shipments in the USYesNo

Number of Bags

Paid/UnpaidIs this item paid or unpaidPaidUnpaid

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