Company Name

facsimile transmittal sheet

to:	from:
Recipient Name	Your Name
company:	date:
Company Name	Enter date
fax number:	total no. of pages, including cover
Fax	Number of pages
Phone number:	sender’s reference number:
Phone	Reference No.
Re:	Your reference number:
Subject	Reference No.

Urgent For Review Please Comment Please Reply Please Recycle

notes/Comments:

Type body of fax message here. Double-click “Street Address, City, ST ZIP Code” in the footer to add your address.