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By doing so, I acknowledge that I am waiving my right to:
1) Contest this charge to my credit card company.
2) Allow a receiver at the shipping address to sign for this package on my behalf.

Copies of the following items are necessary for verification purposes to process the request:

Front and back of credit card used for the purchase (REQUIRED)
One of the three forms of identification is required:
Valid State Drivers License
Valid State Identification Card
Valid Passport


Signed: _____________________________

Name: ______________________________

Date: _______________________________