Wig/Hair Buyer Form
Please Do Not Submit Until You Have Placed An Order. We Will Make Sure Its Submitted For Each Order Before Fulfilling & Shipping The Item
Name
First Name
Last Name
Email
Address As Listed On Order
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Proof Of Identification (Drivers License Or ID)
*
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Last 4 Digits Of The Card Used To Make Purchase
*
Signature
*
Are You The Authorized User On The Card Used ?
*
Yes
No
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