External Customer Product Request Form Submitted By *Customer InformationEmail customer upon Submittal *NoYesNotify customer that part(s) / product(s) have been submitted through our systemCustomer Email *Customer NameCustomerCustomer Phone #Cicis Pizza Location?YesOtherWrite in Location(s)0 / 10Store NumberFreightDo we need to add Freight information? *NoYesShipping Selection - OtherLocal Pickup / Hand DeliveryCE Delivery (Tech)Customer PickupCE Delivery (Installation)Other - N/APlease describe shipping methodShipping Method(s)Please add additional shipping methods as needed.For Parts or Product? *Parts or Product ShipmentPartsProductBothShipping MethodLocal/standard/overnightStandard Freight (Ground)Customer PickupExpedited Freight (Air)Overnight (Before 9am)Overnight (after 9am)Emergency (ASAP)CE Delivery (Tech)CE Delivery (Installation)Please describe shipping methodStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeIs this a business or residence?BusinessResidenceAdditional Shipping information *ProductsDoes this submission involve product? *NoYesProductsSelect Freight method as listed per the first pageShipment 1Shipment 2Shipment 3Shipment 4Shipment 5Other - Shipping is not applicable for this itemWhich shipment is this one?ProductSKU#Product2" Rubber Duck 500pcs5-10" Bubble Popper Mix (144pcs)6INDKCICI - 6" Rubber Duck Mix w/CiCi's Logo6INGLDKCICI - 6" Rubber Glitter Duck Mix w/CiCi's Logo6NEONB - 6" Neon Vinyl Ball Assortment6RAGRBCICI - 6" Neon Graffiti Ball w/CiCi's LogoCandy MixCE Plush KitCE Squish KitCE Capsule KitCE 6" Rubber Animal KitCE 2" Rubber Animal KitJumbo Sucker Mega Candy Mix w/theater box candy (42pcs)Jumbo Sucker Refill (30pcs)Recyle Card BinsRFID Cards - 200RFID Cards - 3000OtherSelect the products usedOther (If Applicable)QuantityQuantity SelectionDescriptorUnit(s)Bag(s)Dozen(s)Case(s)OtherUnit/Bag/Dozen/Case/OtherParts & ServiceDoes this submission involve parts or service? *NoYesHave parts already been ordered? *NoYesPlease list who you spoke with, what time, and any additional information regarding these part(s). *PartsWarranty *Warranty Part?NoYesSelect Freight method as listed per the first pageShipment 1Shipment 2Shipment 3Shipment 4Shipment 5Other - Shipping is not applicable for this itemWhich shipment is this one?PartPO #Select Game / ItemPOS - Amusement ConnectBalloon BoosterCicis CraneContent PlayerAir FXAngry Birds WackerAliens ArmageddonAvengersBatmanBatman JokerBike RallyBig Bass WheelBig Foot CrushBig ShoppeBig Bass Wheel (Pro)Big Wave Air HockeyBlox BreakerCandy DepotCandy Crane House - SmartCici's CraneCrossy RoadsCruis'n BlastDizzy ChickenDown The ClownDuo DriveFind a KeyFright FearlandFast and Furious - 1/2/3Fast and Furious - Tokyo DriftFast and Furious - SupercarFlappy BirdFruit NinjaFun Stop PhotoGear It UpGold FishinHaloHooplaHero fire & RescueHungry Hungry HippoICE BALL FXJetBall AlleyJelly LabJumbo Prize CubeJurassic ParkKeymasterKong VRMagic ShotLane MasterLets BounceLil' Ticket MonsterMeteor StormMilk Jug TossMovie StopMinecraft DungeonsMinion WackerMoto GPNitro TruckNBA GametimeNerf ArcadePirates ChestPlinkoNBA HoopsPongPop the LockPower RollPrize HubRabbids HollywoodQuik DropRing TossRILIX CoasterShoot 2 WinShoot 2 Win JrRoad TripSafe CrackerShooting ManiaSno CrossSpeed of LightSonic Sports Kids BasketballSpace Invader FrenzySpongebobSurfin SurfariSuper Bike 2Super Bike 3Taj Mahal MiniTerminator SalvationTicket MonsterTicket TimeTerminatorTomb RaiderTo-Tha-NetToy ChestTractor TimeTransformersTreasure CoveTreasure QuestTrollsT-Rex LaserToy HouseWhack a ClownWhack N WinWik Air HockeyWik BasketballWilly CrashWWE Superstar RumbleZombie Land BattleOther - Not ListedGame NamePart Name / NumberQTDQuantity SelectionDescriptorUnit(s)Bag(s)Dozen(s)Case(s)OtherUnit/Bag/Dozen/Case/OtherAdditional NotesSend Message
and then Add to Home Screen