Secure Repeat Order Modification Form

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Repeat Order Modification Form
Make any and all changes then click the submit button at the bottom of the form.
Order Identification
Full Name:*  That is associated with the order. Required
Email or Phone:*  That is associated with the order. Required
Order Number: (If known)
Quick Ship Request
Do you need your order shipped today?

1. Complete the Order Identification information above.
2. Check "Ship an Order Today!" box below.
3. Go to the bottom of the form, type in the Security Code and click the Submit button.

An order will be processed immediately.

Notice:
Your "next ship date" will be rescheduled correctly based on today's day of the month. This is necessary to avoid another order from being shipped to you again very shortly after this one. If you do not want your "next ship date" rescheduled and if you do want another order very shortly after this one, then do mention that in the comments at the bottom of this form so we change the "next ship date" back to when it was.

Ship an Order Today!
Upgrade / Downgrade / Cancel / Restart / Convert
Options Available:
                                                                   
Update or Change Payment Information or Payment Method
 Update Credit Card for a Repeating Order:
 
Enter new credit card information.  The information entered will overwrite and update the existing information on your account.
 
Card Type:
Card Number:
(no spaces or dashes)
Expiration Date:
(example: 12/2015)
Name on Card:
CVV:
The last 3 digits on back signature strip, or 4 digits on front of American Express.
Billing Address:
Avoid processing delays, this must match the billing address your card provider has on file.
Product Change
If you want to:
Then:
Increase the amount of an existing product on your order:

Tip: Usually used when you run out of product before your next shipment arrives.
Put the total quantity you wish to order in the Quantity box and describe the item being increased in the Description box. If you currently get 35 of an item and if you want to increase the quantity to 50, then put 50 in the Quantity box and the name of the item being increased in the Description box.

Decrease the amount of an existing product on your order:

Tip: Usually used when you have too much product left over when your next shipment arrives.
Put the total quantity you wish to order in the Quantity box and describe the item being decreased in the Description box. If you currently get 50 of an item and if you want to decrease the quantity to 35, then put 35 in the Quantity box and the name of the item being decreased in the Description box.

Add new item(s) to your order:

It's good to give your loved one variety and let him try new things. Tip: Consider a Sampler Pack every so often to see what he prefers at any given time.
Put the total quantity you wish to order in the Quantity box and describe the item being added in the Description box.

Remove item(s) from your order:

Put zero (0) in the Quantity box and describe the item being removed in the Description box.
Tip: Use this along with "Add new items" to give your loved one variety.

Remove all items from your order:

Put zero (0) in the Quantity box number 1 and type "All Items" in the Description box number 1. Use this method to start over. Put new items you want in Quantity and Description boxes numbered 2-5.

Quantity Item 1:
Description Item 1:
Quantity Item 2:
Description Item 2:
Quantity Item 3:
Description Item 3:
Quantity Item 4:
Description Item 4:
Quantity Item 5:
Description Item 5:
Shipping Address Change
Deliver:
Ship to Name:
Ship to Company: (If applicable)
Ship to Address:
Vacation Hold
Hold order until:
Shipping Date Change
Shipping Date:
Additional Information & Comments
Comments:

Let us know what we can do to improve your order, make your order more satisfying or more convenient.
Confirmation Code 
Security Code:*
 Required
The text entry above is required.  It prevents automatic programs from submitting invalid requests. You can read the text, but automatic programs cannot. By clicking the Submit button, you indicate agreement with Rawhide Distributors, Inc. terms and conditions of service.