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Buy and Ship
Name.
*
First
Last
Provide your first and last name as they appear on your credit or debit card. If you do not have a card use the name that is recognized by your mail or other delivery services.
Customer Number.
*
This is 'yourwebpass' customer number allocated to you when you registered. If you decided not to register or a number hasn't been allocated yet put 'refer to admin' in this box. This will avoid any delay when you place an order. A number will be allocated for your reference.
Email.
*
Provide the email address that you will use to communicate with us.
US Domestic Phone Number.
*
Use the xxx-xxx-xxxx format if you are in the US.
International Phone Number.
*
If you are ordering from outside the US, provide Country Code, Area Code and Number in what ever format your telephone services uses.
Description of item to purchase.
*
Provide as much information on an item as possible. Include things like SKU (Stock Keeping Unit), Catalog Number, or any other number the vendor uses to identify the item. Also include the price. We do not mark up prices.
Did you see the item on a US website, if so which one.
*
If you saw your item on a US website tell us which site. Or put SEARCH on this line If you want us to search for you.
Are we shipping to your address on file ? If not where ?
*
If we are shipping your package to your address we have on file just put a Yes here. If you want us to ship to a different address provide full and accurate information here.
Additional Instructions or Information.
*
You can provide any instructions you may have or any additional information that will assist in the Buy and Ship process.
How Do You Want To Pay
*
With Plastic
With Bit Coin
With Cash
With PayPal
Submit
UA-56105919-1