SIGNATURE RELEASE AUTHORIZATION AND
INDEMNIFICATION AGREEMENT FOR RECIPIENTS
BEFORE USING THIS FORM, PLEASE READ THE FOLLOWING:
YOU MUST CALL (909) 613-1999 OR EMAILto receive an authorization code before we can proceed with
your signature release authorization or with using your FedEx or UPS account. Office hours are: 7:30 AM - 3:30 PM Pacific Time Monday thru Friday.
2. This form can ONLY be used for FedEx or UPS GROUND Services - Please fax to CPD Industries (909) 613-1979 or email to
3. FedEx or UPS will not deliver any packages without signature for special delivery such as: FedEx Standard Overnight, FedEx 2nd Day,
FedEx Express Saver, UPS Next Day, UPS 2 Days, or UPS 3 Day.
4. All packages with a declared value of $500USD or greater require a signature.
Your completed Signature Release Authorization MUST be submitted at the time of order placement.
We do not guarantee that your request for no signature will be processed if your form is received after the order date.
Please note delivery instructions cannot be changed once an order is shipped.
AUTHORIZATION CODE: ___________________
This agreement is
entered into this ___________ day of _______________________ between CPD Industries
(hereinafter "CPD") and
_______________________________________ (hereinafter "Recipient")
& UPS provides a high-priority package ground delivery service, which requires
upon delivery obtaining a signature.
The signature provides
the package has been delivered.
By signing this Authorization and
Agreement, however, Recipient allows CPD to change its usual policy and deliver your packages according to
these instructions: delivery of his packages to certain places without obtaining
a signature by FedEx or UPS.
Therefore, for and in
consideration of the mutual covenants contained herein, the parties hereto agree
1. If you request a PROOF-OF-DELIVERY,
you will receive a receipt listing the designated place of delivery. This
shall constitute proof-of delivery in
accordance with Recipients instructions.
2. You acknowledge that when FedEx
or UPS have delivered the package according to the terms of this
Agreement, you agree to indemnify CPD
and hold CPD harmless from
all liability claims, including any expenses, attorney's fees or other
litigation costs due to any loss and/or damage to
shipments delivered by
FedEx or UPS under this Agreement.
3. If you want to cancel this
Agreement, or if your business closes or relocates, you must give CPD
prior notice of at least 7 calendar days. Otherwise,
this Agreement becomes
immediately null and void
This agreement, executed as of the
date appearing above, shall not become binding upon CPD until written approval
via fax or email is given to
ORDER/ INVOICE NUMBER: _________________________________________
CITY:__________________________________ STATE: _______________________
DAY TIME PHONE NUMBER:
FAX NUMBER: _________________________
FEDEX or UPS ACCOUNT NUMBER: _____________________________
This form can only be used for FedEx
or UPS FedEx GROUND SERVICE - FedEx or UPS will not deliver any packages without
signature for special delivery such as: FedEx Standard Overnight, FedEx 2nd Day, FedEx Express Saver, UPS Next Day,
UPS 2 Days, or UPS 3 Day.
___________________________________________ DATE: _______________
Copyright © 2000 - 2015 CPD Industries
CPD Industries is not affiliated with Pelican Products.
All trademarks are registered and/or unregistered trademarks of Pelican Products, Inc., its affiliates or subsidiaries.