Drop Ship Order Form

Please submit new form for separate orders. IMPORTANT: Do check items’ stock with us before submit order form and before accepting any payment from your customers to avoid any inconvenience.
Agent's Unique Code/ ID :
Agent's email address :
CUSTOMER'S NAME :
CUSTOMER'S PHONE NO :
CUSTOMER'S EMAIL ADDRESS :
CUSTOMER'S ADDRESS :
Product Code / Item(s) and Quantity:
Accept Terms and Conditions?	Yes No