Name on the account
Contact email
Description of the item you wish for us to process
If you have several items which are similar in nature you may list more than one and apply the waver to all of them by filling out one form only
Select all to avoid delays. I understand that the item may be susceptible to changes affecting its:
SHAPE
SIZE
INTEGRITY
COLOR
TEXTURE
Please select all to avoid delays.
Name of the account holder or person authorized to assume the risk.
Phone number if we have any questions
Submit