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Use this form if an online retailer will accept your payment, but will not ship to you. We will provide you with our local address, receive your products, and parcel forward them to your location.

Please fill out below to place a shipping only order request
Note: The * denotes a required field.
*Retailer Name
Product Link
Retailer Price
*Order Description
Weight (lb)
Dimensions (LxWxH)
*No Of Items
*First Name
*Last Name
*Email
Phone Number
*Address Line 1
Address Line 2
*City
*Province / State
Country
*Postal/Zip Code
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