Rebel Copy & Send

Rebel Send Shipment Form

Street addresses are required for all private residences, businesses, federal and university locations. Shipping companies WILL NOT SHIP TO PO BOXES and will charge additional fees for incorrect addresses. We are not liable for incorrect or misentered information.

Accepted payment methods: RebelCard, Credit/Debit Card.

Sender Information:

*Sender Contact:

*Sender Phone #:

*Sender Email Address:

*Sender Address:

Sender Address Line 2:

*Sender ZIP/Postal Code:

*Sender City:

*Sender State/Province:

*Sender Country:

Recipient Information:

*Recipient Contact:

*Recipient Phone #: I do not know the recipients phone number

Send Notifications to Recipient: Yes No

Recipient Email Address:

*Recipient Address:

Recipient Address Line 2:

Company Name:

*Recipient ZIP/Postal Code:

*Recipient City:

Select -- if this is an International shipment.

*Recipient State/Province:

*Recipient Country:

Misc. Information:

Would you like insurance? If so, enter the value of the package:

*If a number larger than one is selected all packages in this shipment must have the same Service and Package Types.

*Number of packages:

*Only documents can be shipped via the International Shipping method.

*Service Type:

*Package Type: