Autoship Orders

AutoShip Orders Enroll now :


[contact-form to=”” subject=”autoship order form”][contact-field label=”AutoShip Form :” type=”checkbox-multiple” required=”1″ options=”New Autoship,Change Autoship,Cancel Autoship”][contact-field label=”First Name & Last Name” type=”name” required=”1″][contact-field label=”Mailing Address :” type=”textarea” required=”1″][contact-field label=”Email” type=”email” required=”1″][contact-field label=”Phone :” type=”text” required=”1″][contact-field label=”Date :” type=”text” required=”1″][contact-field label=”Start My Autoship Order” type=”checkbox-multiple” required=”1″ options=”Immediately,Next Month”][contact-field label=”Products  & Quantity:” type=”textarea” required=”1″][contact-field label=”Credit Card Owner’s Name :” type=”text” required=”1″][contact-field label=” Credit Card Number :” type=”text” required=”1″][contact-field label=”Expiration date :” type=”text” required=”1″][contact-field label=”CCV :” type=”text” required=”1″][contact-field label=”Billing Address :” type=”textarea” required=”1″][contact-field label=”Shipping Address if different from billing address:” type=”textarea”][contact-field label=”I authorize Arkay Beverages to charge my card for the products above” type=”checkbox” required=”1″][contact-field label=”I want this agreement to automatically renew every month until I submit a written change or cancellation as specified in the AutoShip Policies and Procedures. I have read, understand and agree to the AutoShip Policies and Procedures found on page Terms & Conditions” type=”checkbox” required=”1″][/contact-form]


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