This form is required for ANY credit card order with a SHIP TO that is differnet than the billing address.
AMERICAN EXPRESS ORDERS SHIP TO THE BILLING ADDRESS ONLY.
I certify that I ________________________________
am the registered owner of credit card
# ______________________________________ (verification code # ______)
and request that Impact Guns ship order # ________ to an address different than the billing address of this credit card.
As registered user of this credit card, I authorize Impact Guns to ship this order to the address requested on my order, and I hold Impact Guns harmless for any unauthorized person receiving this order.
