Form: Customer's Drop Ship Order

Please fill this form only if your order is more than $4,000 USD and the delivery address is different from the billing address.


  1. 1.- 

    Order Number: *


  2. 2.- 

    Purchaser's Full Name: (Name, Middle Name and Lastname(s)) *


  3. 3.- 

    Delivery: Receiver's Full name (Name, Middle name and Lastname(s))*


  4. 4.- 

    Delivery Address: (Street address, City, State, Zip)*


  5. 5.- 

    Delivery Address is:*


  6. 6.- 

    Only for Parcel: Signature Required?


  7. 7.- 

    Freight Accesories Required: (Only for Freight and select all required)


  8. 8.- 

    By signing your name below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement between you and American Sulastic, Corp to deliver your item's order on a different address than the billing address.*


  9. 9.- 

    Attach a copy of your Driver's License? * The name must match with the name as shown on the method of payment. Why? because is not being shipped to the credit card's billing address and/or the amount of the transaction.


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