ShopfromAmericaNigeria.com

Note: You don't need to call us after filling this form. Our US warehouse is automatically contacted the instant you submit the
form, and they will use the information provided to wait for your items and ship as soon as it arrives.
PLEASE DONT FILL THIS FORM IF YOU HAVE NOT PLACED YOUR ORDER. ONLY FILL AFTER PLACING YOUR ORDER.

Your Name:

Your Email Address:

Your Phone Number:

Your Address (Credit Card Billing Address):

Your City:

Your State:

Last 4 Digits of Credit Card:

Full Details of What You Are Shipping:

Total Value Of What You Are Shipping ($):

How Many Separate Shipments Do You Have:

List Websites Where Items Were Purchased
From:

Do You Want Insurance (If yes, it is charged at 2.5%
of product total value, but a minimum of $5):

Do You Want Home Delivery (Lagos Only)
(Extra charges apply for home delivery within Lagos, but no
extra charge to pick up in our office. Click here for Lagos
home delivery charges. Shipment to all other locations are
delivered straight to customers home)

Referred By: (Start saving on your shipping today.
Click Here to see how to get shipping for as low as
$3.5 9/pound)

Other Comments:

You Shop...We Ship
Go to the site of your choice and place your order using the address
format on the right as your US shipping address. Fill this form after placing
your order to let us know you have sent a shipment to us. Once received,
the items will be shipped to our office in Nigeria. We will inform you once it
arrives, and you can simply come to the office to pick up your items. Be
sure to read our terms and condition of using this service by clicking here.
Items will arrive in about 4 to 7 business days after they reach our
warehouse in the US.