Address Verification Form
Please take a moment and fill out this form and be as detailed as possible.
We appreciate your feedback and will make every effort to satisfy your needs.
Please use the space below to give us Your Complete Address...Thank You!
**If you have a street address and a Post Office Box
PLEASE GIVE US BOTH ADDRESSES.
Street address Left Box --- Post Office or other address right box please.
Is this address also your MAIL DELIVERY ADDRESS? Yes or No
I understand that my order may be mailed (US Postal Service) or shipped via other carrier Yes or No
I agree with the Policies and Procedures Yes or No
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