Drop Ship Form - Si Jin Bao Pro

Drop Shipping Form

Dropship Form

Instructions:

Conveniently place your order by following 3 simple steps:

Step 1: Fill out the form below.
Step 2: We will notify you once your invoice is available via email.
Step 3: Login to your account & pay under "Orders" here.

We take care of the rest! 🙂

Please note our Shipping Policy.

Physician Name

First

Last

Registered User Email

The email you registered for a Si Jin Bao PRO account with.

Drop Shipping Information

Patient's Name

First

Last

Patient's Shipping Address

City

State/Province

Zip/Postal

Country

Products to be Shipped

Choose the type of product you would like to ship:

Professional Version

Over-the-Counter Version

Professional Products

Quantity

Over-the-Counter Products

Quantity

Add Remove

Please select your shipping type below:

U.S.Standard Shipping: 4-7 Business Days - $12.50

UPS 2 Day Shipping + Expedited Processing - $45.00

UPS Next Day Shipping + Expedited Processing - $75.00

Would you like us to use the credit card you have saved on file?

Yes

If yes, please ensure that you have marked as "Default" the credit card you would like us to use under "Payment Methods". Otherwise we will send you an invoice once the order has been entered into our system.

Add any additional notes you would like to provide to your patient.

If you are human, leave this field blank.