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Customer’sAuthorization Autorisationpourrenonciation ...

Customer's Authorization Autorisation pour renonciation to Waive Delivery Signature la signature de livraison Single Shipment Use pour envoi unique Authorization of Shipper Receiver Autorisation Exp diteur Destinataire Your name/Company Name / Votre nom/le nom de votre entreprise Delivery Address / Adresse de livraison City / Ville Prov Postal Code / Postal Telephone / T l phone Shipment Parcel Identification # / Identification de colis d'exp dition #. B/L No. ( ) No. de ident. colis Note : Signature Not Required (SNR) and Origin Signature Not Remarque : Les services SNR (signature non requise) et OSNR (autorisation Required (O-SNR) delivery is not available for shipments sent de ne pas obtenir de signature donn e par l'exp diteur) ne sont pas offerts through Purolator's high value system, shipments with high pour les envoi

M/ M D/ J Y/ A Date Yourname/CompanyNam e/Votrenom/lenomdevotreentreprise DeliveryAddress/ Adressedelivraison City/ Ville Prov PostalCod e/ Postal

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