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COMOX PACIFIC EXPRESS / SQUAMISH …

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CUSTOMER CLAIMS REPORT IF YOU HAVE RECEIVED A DAMAGED SHIPMENT OR DID NOT RECEIVE A SHIPMENT, PLEASE COMPLETE THE FOLLOWING AND FAX TO COMOX PACIFIC CLAIMS DEPARTMENT ATTENTION: BRENDA CHURSINOFF 604-580-4601. PPLEASE PRINT CLEARLY. Company Name: ________________________________________ ___________________ Address: ________________________________________ __________________________ City: __________________________________ Postal Code: ________________________ Telephone # _________________ Fax # _________________ Email __________________ Contact Name: ________________________________________ ______________________ Overland West Bill of Lading # ________________________________________ _________ Approximate Cost of Claim ________________________________________ ____________ Shipper / Supplier ________________________________________ ____________________ Used / New Goods ________________________________________ ___________________ Damaged.

comox pacific express / squamish freightways cargo loss and damage claim form if you have received a damaged shipment or did not receive a shipment, please complete the following and fax to

  Express, Pacific, Graco, Comox pacific express squamish, Comox, Squamish, Comox pacific express squamish freightways cargo, Freightways

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