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Ship Only
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.
*
Confirm 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 service uses.
Where are we receiving from ?
*
Tell us where we are receiving the package from and who the shipper is. (Fedex, UPS, USPS or other.)
Tracking Number.
*
Provide a tracking number if you have one. This enables us to know where your package is.
Where are we shipping to ?
*
Confirm the address we are sending your package to. One of the reasons packages can get lost is if the address is incorrect or incomplete.
Additional Instructions or Information.
*
You can provide any instructions you may have or any additional information that will assist in the shipping process.
How Do You Want To Pay?
*
With Plastic
With Bit Coin
With Cash
With PayPal
Submit
UA-56105919-1