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Domestic Request Form
Fullname:
Phone Number:
Email Address:
Shipping Type:
*
--Choose Shipping Type--
Inter State
Intra State
Title of Request:
Items in Package
Service Type:
*
--Choose Service--
Bulk Delivery: 24 HOURS DELIVERY
Instant Express Delivery: 6 HOURS DELIVERY
Normal Delivery: 24 HOURS DELIVERY
Regular Express Delivery: 24 HOURS DELIVERY
Pickup Address:
Create New Address
Name:
Enter Address (Location / City):
Address:
Zip Code:
City:
State:
--Choose One--
Abia
Adamawa
Akwa-Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross-River
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Phone Number:
Alternate Phone Number:
Comment (extra info):
Delivery Address:
Create New Address
Name:
Enter Address (Location / City):
Address:
Zip Code:
City:
State:
--Choose One--
Abia
Adamawa
Akwa-Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross-River
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Phone Number:
Alternate Phone Number:
Comment (extra info):
Anti-spam code
20894
Submit Request