Company Name
Main Contact Name
Name of ILC/PT

Receiving The Artifact
If Artifact is damaged, notify NAPT immediately for instructions.

Date received

Please list all items received:

Any Visible Damage to Artifact? YesNo

If yes, please describe and contact NAPT ASAP for instructions:


Shipping The Artifact
Participants are required to ship 2nd day air via UPS or FedEx.

Date of Participation
Date Artifact Shipped
How Was it Shipped
Tracking Number

Artifact Shipped to:

Company/Organization
Attn:
Address
City
State
Zip Code

Comments: