Contact information for the person completing the manifest is required. In the case corrections need to be made a Mankind representative will contact you and walk you through the necessary corrections to insure the manifest is correct and meets BCC regulations prior to delivery.

Vendor Delivery Form

Name*
First Last
Email*
Phone
INVOICE/MANIFEST NUMBER:
ATTACH ADDITIONAL PAGES OF PRODUCT DETAILS?
- YES
- NO
# OF ATTACHED PAGES:
Please enter a number from 1 to 2.
ACTUAL DATE AND TIME OF DEPARTURE:
YYYY slash MM slash DD
HH:MM
- AM
- PM
ESTIMATED DATE AND TIME OF ARRIVAL:
YYYY slash MM slash DD
HH:MM
- AM
- PM
SHIPPER INFORMATION
STATE LICENSE #
TYPE OF LICENSE
BUSINESS NAME
PHONE NUMBER
BUSINESS ADDRESS
CONTACT NAME
CITY, STATE, ZIP CODE
EMAIL ADDRESS
DISTRIBUTOR INFORMATION
STATE LICENSE #
BUSINESS NAME
STREET ADDRESS
CITY, STATE, ZIP CODE
PHONE NUMBER
CONTACT NAME
DRIVER'S NAME
CA DRIVER'S LICENSE #
VEHICLE MAKE
VEHICLE MODEL
VEHICLE LIC. PLATE #
ACTUAL DATE AND TIME OF ARRIVAL
YYYY slash MM slash DD
HH:MM
- AM
- PM
PRODUCT SHIPPED DETAILS
SHIPPER COMPLETES ALL THE UNSHADED COLUMNS BELOW. RECEIVER COMPLETES ONLY THE SHADED COLUMNS BELOW.
(Please attach additional pages, if needed)
UID TAG NUMBER (IF APPLICABLE) ITEM NAME AND PRODUCT DESCRIPTION (INCLUDE WEIGHT OR COUNT) QTY ORDERED UNIT COST TOTAL COST
PRODUCT REJECTION
IF PRODUCTS ARE REJECTED, PLEASE CHECK OFF THE ITEMS BEING REJECTED IN THE PRODUCT SHIPPED DETAILS SECTION ABOVE
REASON FOR REJECTION:
PRODUCT RECEIPT CONFIRMATION
I CONFIRM THAT THE CONTENTS OF THIS SHIPMENT MATCH IN WEIGHT AND COUNT AS INDICATED ABOVE. I AGREE TO TAKE CUSTODY OF ALL ITEMS AS INDICATED RECEIVED ABOVE – AND WHICH ARE NOT CIRCLED. THE PRODUCTS CIRCLED ABOVE ARE REJECTED FOR DELIVERY AND REMAIN IN THE CUSTODY OF THE DISTRIBUTOR FOR RETURN TO THE SHIPPER AS INDICATED ON THIS FORM AND ALL ATTACHED PRODUCT DETAILS SHEET(S).
NAME OF PERSON RECEIVING AND/OR REJECTING PRODUCT
PHONE NUMBER:
Signature
DATE SIGNED
YYYY slash MM slash DD
ATTACHMENT #1
SALES INVOICE / SHIPPING MANIFEST PRODUCT DETAILS ATTACHMENT PAGE
INVOICE/MANIFEST NUMBER ATTACHED TO:
This field is hidden when viewing the form
ATTACHED PAGE
PRODUCT SHIPPED DETAILS
SHIPPER COMPLETES ALL THE UNSHADED COLUMNS BELOW. RECEIVER COMPLETES ONLY THE SHADED COLUMNS BELOW.
(Please attach additional pages, if needed)
UID TAG NUMBER (IF APPLICABLE) ITEM NAME AND PRODUCT DESCRIPTION (INCLUDE WEIGHT OR COUNT) QTY ORDERED UNIT COST TOTAL COST
PRODUCT REJECTION
IF PRODUCTS ARE REJECTED, PLEASE CHECK OFF THE ITEMS BEING REJECTED IN THE PRODUCT SHIPPED DETAILS SECTION ABOVE
REASON FOR REJECTION:
PRODUCT RECEIPT CONFIRMATION
I CONFIRM THAT THE CONTENTS OF THIS SHIPMENT MATCH IN WEIGHT AND COUNT AS INDICATED ABOVE. I AGREE TO TAKE CUSTODY OF ALL ITEMS AS INDICATED RECEIVED ABOVE – AND WHICH ARE NOT CIRCLED. THE PRODUCTS CIRCLED ABOVE ARE REJECTED FOR DELIVERY AND REMAIN IN THE CUSTODY OF THE DISTRIBUTOR FOR RETURN TO THE SHIPPER AS INDICATED ON THIS FORM AND ALL ATTACHED PRODUCT DETAILS SHEET(S).
THIS "PRODUCT DETAILS ATTACHMENT PAGE" IS ATTACHED TO INVOICE #:
NAME OF PERSON RECEIVING AND/OR REJECTING PRODUCT
PHONE NUMBER:
Signature
DATE SIGNED
YYYY slash MM slash DD
ATTACHMENT #2
SALES INVOICE / SHIPPING MANIFEST PRODUCT DETAILS ATTACHMENT PAGE
INVOICE/MANIFEST NUMBER ATTACHED TO:
This field is hidden when viewing the form
ATTACHED PAGE
PRODUCT SHIPPED DETAILS
SHIPPER COMPLETES ALL THE UNSHADED COLUMNS BELOW. RECEIVER COMPLETES ONLY THE SHADED COLUMNS BELOW.
(Please attach additional pages, if needed)
UID TAG NUMBER (IF APPLICABLE) ITEM NAME AND PRODUCT DESCRIPTION (INCLUDE WEIGHT OR COUNT) QTY ORDERED UNIT COST TOTAL COST
PRODUCT REJECTION
IF PRODUCTS ARE REJECTED, PLEASE CHECK OFF THE ITEMS BEING REJECTED IN THE PRODUCT SHIPPED DETAILS SECTION ABOVE
REASON FOR REJECTION:
PRODUCT RECEIPT CONFIRMATION
I CONFIRM THAT THE CONTENTS OF THIS SHIPMENT MATCH IN WEIGHT AND COUNT AS INDICATED ABOVE. I AGREE TO TAKE CUSTODY OF ALL ITEMS AS INDICATED RECEIVED ABOVE – AND WHICH ARE NOT CIRCLED. THE PRODUCTS CIRCLED ABOVE ARE REJECTED FOR DELIVERY AND REMAIN IN THE CUSTODY OF THE DISTRIBUTOR FOR RETURN TO THE SHIPPER AS INDICATED ON THIS FORM AND ALL ATTACHED PRODUCT DETAILS SHEET(S).
THIS "PRODUCT DETAILS ATTACHMENT PAGE" IS ATTACHED TO INVOICE #:
NAME OF PERSON RECEIVING AND/OR REJECTING PRODUCT
PHONE NUMBER:
Signature
DATE SIGNED
YYYY slash MM slash DD

UID TAG NUMBER (IF APPLICABLE)	ITEM NAME AND PRODUCT DESCRIPTION (INCLUDE WEIGHT OR COUNT)	QTY ORDERED	UNIT COST	TOTAL COST

UID TAG NUMBER (IF APPLICABLE)	ITEM NAME AND PRODUCT DESCRIPTION (INCLUDE WEIGHT OR COUNT)	QTY ORDERED	UNIT COST	TOTAL COST

UID TAG NUMBER (IF APPLICABLE)	ITEM NAME AND PRODUCT DESCRIPTION (INCLUDE WEIGHT OR COUNT)	QTY ORDERED	UNIT COST	TOTAL COST

Vendor Delivery Form

SHIPPER INFORMATION

DISTRIBUTOR INFORMATION

PRODUCT SHIPPED DETAILS

PRODUCT REJECTION

PRODUCT RECEIPT CONFIRMATION

ATTACHMENT #1

SALES INVOICE / SHIPPING MANIFEST PRODUCT DETAILS ATTACHMENT PAGE

PRODUCT SHIPPED DETAILS

PRODUCT REJECTION

PRODUCT RECEIPT CONFIRMATION

ATTACHMENT #2

SALES INVOICE / SHIPPING MANIFEST PRODUCT DETAILS ATTACHMENT PAGE

PRODUCT SHIPPED DETAILS

PRODUCT REJECTION

PRODUCT RECEIPT CONFIRMATION

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