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Shipping Waiver Form

Shipping Waiver Form

I hereby authorize Wired Systems Corporation to ship my order to the shipping address stated below. Also indicated are the Company Name, Contact Person, Position, Shipping Address, Shipping Forwarder, Shipping via Air or Sea, declared value of the shipment, Purchase Order Number, Sales Order Number and actual value of the order.
Company Name: Attention: Position: Shipping Address: Shipping Forwarder: Ship Via Air/Sea: Air Sea Land Declared Value:

Full Declare, Actual SO Value Amount of Php
Specify Declare Value in the Amount of Php

Purchase Order No.: Sales Order No.: Actual SO Value.:
In the event an insurance claim for damaged or lost goods in the shipment, I am aware that it will be based on the DECLARED VALUE of the shipment indicated above.
All goods are fully accepted to have been completely delivered upon the collection or pickup of the Forwarder indicated above.
If the goods are damaged or lost during shipment, I shall pay Wired Systems Corporation for the Actual Sales Order Value. If payment is already made, I shall not demand for a refund on the said payment. For any insurance claims, I shall directly contact the Forwarding Company.
Sincerely,
Name: Email:

Print after submit.

I certify that my answers are true and complete to the best of my knowledge.

I agree that the information I provided above including my IP address will be sent to Wired Systems Corporation.