Will you be shipping from more than one location? Yes No

Do you need authorization to order UPS supplies? Yes No

Do you need administrative authority (ability to downloading billing information for all users in your department)? Yes No

University Stores and Purchasing have established competitive pricing with UPS on the following service levels: UPS Next Day Air Saver UPS Next Day Air UPS 2nd Day Air Worldwide Express

*Please have your supervisor sign below and fax this form to University Stores at 517.355.1717. Please remember that once this account is created, you are liable for all shipping charges under your given user name and password.

Supervisor Signature: