Shipper
Dealer
1.
Average number of insured packages per
Day
Month
2.
Average value per insured package
3.
Highest insured value for any one package
4.
Who is your primary carrier?
Select
DHL
FedEx
UPS
FedEx Ground
U.S. Postal Service
Other
5.
What kind of products do you ship?
6.
Do you have an electronic shipping system?
Yes
No
7.
What is the name of the system?
Select
Ascom iMCM
Clippership
DHL Libra 2
DHL Internet Shipping
Endicia
FedEx ShipManager
Harvey Software CPS
MOS MCM
Neopost Friendship
Pitney Bowes Ascent
ShipManager@fedex.com
SpeedShip
Stamps.com
Tanner Technologies Eagle
UPS Internet Shipping
UPS Online WorldShip
V-Tech Starship
Other
None
8.
How did you find out about PIP?
Select
Mail Flyer
From An Associate
From Carrier
iCustomer
From another site
Other
9.
If other, please explain.
Contact Information
First Name:
Last Name:
Title:
Organization:
Street Address:
Address (cont.):
City:
State:
Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip/Postal Code:
Country:
Work Phone:
FAX:
E-mail:
Your Information
First Name:
Last Name:
Title:
Organization:
Street Address:
Address:(cont.)
City:
State/Province:
Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip/Postal Code:
Country:
Work Phone:
FAX:
E-mail:
Send Proposal to:
Customer
Self
Both
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