Shipping Waiver Form

If you would like us to ship your order to a different address other than your credit card billing address please fill out this form and fax it to us at 323-586-9400 within 4 hours of placing your order.

To: Cybernetplaza.com

Attn: Billing Dept.

Fax: 323-586-9400

I, _________________________, hereby authorize Cybernetplaza.com to ship my order to the shipping address stated below:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Copies of the following must be faxed together with this form:

1.) Front & Back of the credit card used for the purchase

2.) Valid ID with the same name as on the credit card


____________________________________ Signature

____________________________________ Full Name (as stated on the card)

____________________________________ Billing Address (do not put shipping address here)

____________________________________ City, State, Zip

__________________ Order Number

__________________ Date

Have Questions?
Call 1-866-596-3576 between 10 am - 6 pm Monday-Friday Pacific Time.
AP/AA/AE residents, call 1-323-586-2000.