INVENTORY REQUEST FORM *MANAGERS ONLY*
THANK YOU FOR YOUR REQUEST PLEASE GIVE UP TO 24 HOURS FOR A RESPONSE.
Email
*
What is your first and last name?
*
What is the first and last name of the recipient?
*
Would this order be for pick up or delivery?
*
What is the recipients phone number?
*
What is the recipients street address?
*
What is the recipients suite? (If applicable)
What is the recipients town?
*
What is the recipients state?
*
What is the recipients zip code?
*
What are you requesting for? (Select all that apply)
*
PHONES
SIMS
How many SIMS are you requesting?
*
How many PHONES are you requesting?
*
Do you certify that all information above is correct?
*
Please Select
Yes
No
Submit
Should be Empty: