COD Authorization Form

Company/Purchasing Party's Name

I acknowledge and affirm that I am an authorized signer for:

Name

I authorize Top Wolf Nutrition to accept the following terms by C.O.D payment.

Driver's License Type

Payment Type

I understand and acknowledge that I will personally guarantee any orders refused and returned by UPS, FedEx, USPS for lack of funds or false payment including any handling/freight Fees connected with any orders refused by Our Company.

Name

Date

Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Driver's License Number

Expiration

Driver's License Front

Drag & Drop Files, Choose Files to Upload

Driver's License Back

Drag & Drop Files, Choose Files to Upload

You may also send your authorization form via

COD Authorization PDF