NO SIGNATURE REQUIRED RELEASE FORM

COMPLETE THIS FORM AND FAX TO
805-578-8762

Use this form if no one is available to receive the package
from UPS or Federal Express.

Complete this form and fax to 805-578-8762
Name:
Address:
City:
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Zip Code:
Daytime Phone:
Quote Order Number:
Comment:
 I ____________________________________ hereby authorize Safari4x4 - Division of Man-A-Fre to charge my credit card for parts, shipping, insurance, handling and boxing fees that may apply to my order. I understand the merchandise will be shipped with "NO SIGNATURE REQUIRED". I assume full responsibility for all shipment after it departs from Safari4x4 facility. I understand that this authorization will remain in effect until I cancel it in writing.
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