MXG Shipment Request

BOLD areas required.

Request form for email to be sent to you
with the ftp download instructions

MXG CID Number	Not required, but helpful; Your CID number is printed on our address labels and invoices

MXG License Type	(not required) MXG SAS/ITSV-ITRM

Delivery	FTP (ftp instructions will be sent via return email)

Send EMAIL Instructions to Person:
Name:
Title:
Company
Department
Mail Code
Street
City
State or Province
Postal Code or Zip
Country
Email Address
Telephone

Send the email instructions to the above email address.

Send the email instructions AND make this the Technical Addressee.


Requestor Info	Requestor is the above. Send EMAIL Instructions to person.
- OR -	Specify Requestor Information below
Name
Company
Phone
Fax
Email

Comment	(Max 500)