deSignet International Shipping Release Form
Fax To: 800-777-6256
Attention: deSignet Shipping Staff
Thank you for your purchase. For security reasons we require the following information in order to ship to an address other than your billing address. Please fill out and fax back at your earliest convenience. Please type or print legibly, it is important that we correctly read the information in order to insure timely and accurate delivery.
This release form must be received at least one week prior to your scheduled ship date to ensure proper delivery. If the customer changes the shipping address after the order is shipped (while in transit with UPS) the customer is responsible for all transfer and address change fees levied by UPS. These additional charges will be billed to the customers credit card.
Business: __________________________________________________ (if applicable)
Floor, Suite Number or Apartment Number: _______________________
State: _______________________ Zip: ________________________
Phone Number: _____________________
I give my permission for deSignet International to ship my jewelry purchase to the above address.
Signature of purchaser: __________________________________________________
Printed name of purchaser: _______________________________________________
Sales Person: ___________________
If you should need to contact us please use one of the following:
Mail: deSignet International
1869 Whitehaven Road
Grand Island, New York, 14072