iPaaS (integration platform as a service) for SaaS companies

Online Request for IMX to Prepare an Order of your stock to Ship to your stated Receiver on or by the date specified on this Form.

Unique ID
INSTRUCTION CIRCULATIONInsert email addresses of persons instructed to action your order – you may include up to 5 email addresses separated by a Comma ("," )
JOB DESCRIPTION

Receiver Name*
First Last
- Receiver Company Name
- Receiver Identity Number or NIE or EORI
EVENT NAMEEnter the show. fair or event name.
- Receiver Phone*
- Receiver_Address_type
- Receiver Email*
Receiver Address Details*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
DELIVERY INSTRUCTIONSAdd any delivery information that will help.
SHIPMENT DETAILS

Your Reference
SHIPPING SERVICE*Select the service you want your products to be shipped with.
Weight*Enter in kilos. For example for 100g enter 0.100 For 500g enter 0.500 Enter the total weight of the shipment For 500g enter 0.500 Enter the total weight of the shipment
- Height*
- Width*
- Length*
Total Value*Enter the total value of the shipment.
- DELIVER DATE FROM
  MM slash DD slash YYYY
- DELIVER DATE BY
  MM slash DD slash YYYY
- DELIVERY TERMS
  - DDU
  - DDP
- NON-DELIVERY INSTRUCTIONS*Let us know what do you want us to do if your consignment cannot be delivered for whatever reason?
Hidden
Section Break
Consent*
I agree to the terms and conditions. Orders subject to Service Level Agreement, Stock Availability and IMX Terms & Conditions of Trade
{all_fields}

Save and Continue Later

sku	program	region	name	category	qty	user_qty

skuname	skuqty	userinput

skuname	skuqty	userinput

skuname	skuqty	userinput

JOB DESCRIPTION