Domestic Supplies Request Form

Which FedEx supplies do you need?

To place an order, please input the quantity next to the supplies you want, then complete the form with your account and contact information, and click Submit.

Pak

(QTY. LIMIT 20)

Error:

5kg Box

(QTY. LIMIT 10)

Error:

QR code air waybill

(QTY. LIMIT 99)

Error:

Where shall we deliver the supplies?

Account Number *

Error:

First Name *

Error:

Last Name *

Error:

Company *

Error:

Department

Error:

Address 1 *

Error:

Address 2

Error:

City *

Error:

State/Province/Region *

Error:

Country/Territory

Error:

Postal code

Error:

Phone no. *

Error:

Fax no.

Error:

E-mail *

Error:

By completing this form, you hereby consent to Federal Express China Company Limited, its parent and affiliates (collectively “FedEx”), and their authorized agents, and service providers to collect, use, disclose, transfer and share this data (including across jurisdictions) for relationship management, and supplies delivery purposes. These purposes include any other purpose as authorized by you, or as otherwise required or permitted by law. You also agree that: FedEx, their authorized agents, and service providers may contact you to process this transaction. Please also see our Privacy Statement. In addition, you hereby represent and warrant that you are the user and/or subscriber of the contact details provided by you in this form.