All fields required
 Clinic Information
 *Full Name
 *Clinic Name
 *Address 1
 Address 2
 *Zip Code
 *Phone no.
 Sender tax
 ID no.
 *Sender IE
 Recipient Information
 Recipient tax
 ID no.
 *Recipient IE
 Package and Shipment Details
 *Service type
 *Package type
  Goods not in free circulation
 *Ship date
 *Package contents Documents
 Item description
  Generate FedEx customs documentation for this shipment
   Returns Clearance
 *Return reason type
*Return reason description
 Please note:
 If your recipient's address is an APO, FPO, or DPO location, please ensure that Form 2976A is included with this shipment. More
 information on the necessary documentation for shipping to military addresses can be obtained from the US Postal Service website.