Fedex Form Test

ALL CLEANING CHARGES INCLUDE

ADVANCED CLEANING ADVANCED INSPECTION FREE RETURN SHIPPING

Please provide the following information:
If you are shipping more than one set, please clip sets together and include one Work Order Form per order and one Work Order Detail Form per set. Attach the form to the set or place it in the pocket. As per the NFPA 1851 Standard, all gear must be cleaned before any inspection or repairs can be performed.
PLEASE LET US KNOW IF A PURCHASE ORDER IS REQUIRED
Choose Your Location*
- New York City, NY
- Charlotte, NC
- Miami, FL
- Dayton, OH
- Lakewood, CO
- Atlanta, GA
780 East 134th Street
Bronx, New York 10454
t. 718.728.7400 / f. 718.728.7408
3200 Austell Road SW
Suite 130
Marietta, GA 30008
c. 770.542.7620
t. 770-628-0821
3839 Corporation Circle
Charlotte NC 28216
t. 704.644.8842 / f. 704.248.7699
3795 NW 38th Street
Miami, Florida 33142
t. 305.851.8281 / f. 305.636.2676
620 Shiloh Springs Rd
Dayton, Ohio 45415
t. 937-221-8922
3301 South Field Street
Lakewood, Colorado 80277
t. 303.362.0585
Repair Estimate approval Required?
- YES, I must approve repairs.
- NO, move forward with repairs.
Please be advised that orders ship within 4 days of estimate approval.
Pre-approved repairs up to $
Contact Information
Department / Company Name*
Contact Name*
First Last
Your Email*
Phone*
Fax

Your Shipping/Billing Information
Shipping Address*
Street Address Address Line 2 City State ZIP Code
Shipping Method*
- Free Minerva Shipping Both Ways
- I would like to use my own shipping method.
Minerva provides free shipping, both ways, on bunker gear cleaning only. All "CLEAN" orders sent in for maintenance/alterations, will be billed for incoming shipping, return shipping is always free. If you choose to opt out of our free shipping program to use your own shipping method, please choose the proper option above.

Shipping Box Information*

Weight (lbs)	Length (in.)	Width (in.)	Height (in.)	Length & Girth (L x 2W x 2H - Cannot Exceed 130" total)
Please enter a value between 0 and 60.	Please enter a value between 0 and 48.	Please enter a value between 0 and 48.	Please enter a value between 0 and 48.	Please enter a value between 0 and 130.

The length and girth formula is simple. Here’s what you do:
- Measure the length, height, and width of the package.
- Length and girth equals length plus twice the width and twice the height.
- Cannot exceed a combined 130"
Billing Address*
- Same as shipping Address
- I have a separate billing address.
Billing Address*
Street Address Address Line 2 City State ZIP Code

BULK ORDER?
IS THIS A BULK ORDER?
- Yes, I am shipping multiple sets of gear
- No,this is a single gear order
Bulk Order Details
Bulk Cleaning Options
- ADVANCED CLEANING (Includes advanced inspection & repair estimate)
- ADVANCED INSPECTION & REPAIR ESTIMATE (Gear pre-cleaned by department)
Bulk Decon Cleaning
- Yes
- No
Types of Contaminants
Coats*
How many coats will you be shipping with your Bulk Order?
Please enter a number from 0 to 99.
Pants*
How many pants will you be shipping with your Bulk Order? DO NOT LEAVE BLANK, enter 0 if none
Please enter a number from 0 to 99.
Suspenders*
How many suspenders will you be shipping with your Bulk Order? DO NOT LEAVE BLANK, enter 0 if none
Please enter a number from 0 to 99.
Hoods*
How many hoods will you be shipping with your Bulk Order? DO NOT LEAVE BLANK, enter 0 if none
Please enter a number from 0 to 99.
Gloves*
How many gloves will you be shipping with your Bulk Order? DO NOT LEAVE BLANK, enter 0 if none
Please enter a number from 0 to 99.
Helmets*
How many helmets will you be shipping with your Bulk Order? DO NOT LEAVE BLANK, enter 0 if none
Please enter a number from 0 to 99.
Boots*
How many boots will you be shipping with your Bulk Order? DO NOT LEAVE BLANK, enter 0 if none
Please enter a number from 0 to 99.
Other
- Yes
Will you be shipping any other items with your bulk order?
Other Explained
Please describe any other items you will be shipping with your bulk order.

Additional Information
Additional Comments / Special Request:
If you are placing a bulk order, please provide all details (serial numbers, alterations, repairs, etc.) in this text box.
Sales Representative
Branch Location
By submitting this form, you are agreeing to submit an order to Minerva for gear service/cleaning. Upon Submission of this form a UPS shipping label will be generated and sent to your provided email (If you have chosen "Free Minerva Shipping") as well as an order confirmation email. This process is automated and may require up to 10 minutes to process and email.

Service Request - Fedex Test

Step 1 of 5 - Client Information

ALL CLEANING CHARGES INCLUDE

Please provide the following information:

PLEASE LET US KNOW IF A PURCHASE ORDER IS REQUIRED

780 East 134th Street
Bronx, New York 10454
t. 718.728.7400 / f. 718.728.7408

3200 Austell Road SW
Suite 130
Marietta, GA 30008
c. 770.542.7620
t. 770-628-0821

3839 Corporation Circle
Charlotte NC 28216
t. 704.644.8842 / f. 704.248.7699

3795 NW 38th Street
Miami, Florida 33142
t. 305.851.8281 / f. 305.636.2676

620 Shiloh Springs Rd
Dayton, Ohio 45415
t. 937-221-8922

3301 South Field Street
Lakewood, Colorado 80277
t. 303.362.0585

Contact Information

Your Shipping/Billing Information

The length and girth formula is simple. Here’s what you do:

BULK ORDER?

Bulk Order Details

Coat

Pant

Additional Information

Fedex Form Test

Service Request - Fedex Test

Step 1 of 5 - Client Information

ALL CLEANING CHARGES INCLUDE

Please provide the following information:

PLEASE LET US KNOW IF A PURCHASE ORDER IS REQUIRED

780 East 134th Street Bronx, New York 10454 t. 718.728.7400 / f. 718.728.7408

3200 Austell Road SW Suite 130 Marietta, GA 30008 c. 770.542.7620 t. 770-628-0821

3839 Corporation Circle Charlotte NC 28216 t. 704.644.8842 / f. 704.248.7699

3795 NW 38th Street Miami, Florida 33142 t. 305.851.8281 / f. 305.636.2676

620 Shiloh Springs Rd Dayton, Ohio 45415 t. 937-221-8922

3301 South Field Street Lakewood, Colorado 80277 t. 303.362.0585

Contact Information

Your Shipping/Billing Information

The length and girth formula is simple. Here’s what you do:

BULK ORDER?

Bulk Order Details

Coat

Pant

Additional Information

780 East 134th Street
Bronx, New York 10454
t. 718.728.7400 / f. 718.728.7408

3200 Austell Road SW
Suite 130
Marietta, GA 30008
c. 770.542.7620
t. 770-628-0821

3839 Corporation Circle
Charlotte NC 28216
t. 704.644.8842 / f. 704.248.7699

3795 NW 38th Street
Miami, Florida 33142
t. 305.851.8281 / f. 305.636.2676

620 Shiloh Springs Rd
Dayton, Ohio 45415
t. 937-221-8922

3301 South Field Street
Lakewood, Colorado 80277
t. 303.362.0585