Product Information Submission Form
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Name
*
Enter your full name.
This field is required.
Phone
*
Enter your contact number.
This field is required.
Email
*
Enter your email address for communication.
This field is required.
Product Name
Enter the name of the product(s) you wish to source. One per line
This field is required.
Product Link
Provide a link to the product webpage, if available.One per line
This field is required.
Full Product Description
Provide a detailed description of the product(s). One per line
Quantity
Enter the quantity of the product you wish to submit.
Size / Color / Specifications
Specify the size, color, and any other important specifications.
This field is required.
How will you reimburse us?
Select the method of reimbursement.
Select an option
Bank Transfer
PayPal
Credit Card
Cash
Disclaimer:Purchases made on behalf of customers require an active Ship2JA account and a 50% upfront deposit prior to processing.
*
This field is required.
Submit
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