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Order Form for UPS Employees

To purchase Miva Merchant, please complete the form below. If you want to purchase using a UPS subsidy, please contact your UPS account executive to see if you qualify. A representative from Miva Merchant will contact you regarding your order.

For UPS Employees

Your Contact Information

Fields marked with a * are required.

Example: [email protected]

Example: 1-800-550-4148x1234

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Please provide the customer's contact info below (otherwise, please leave this section blank):

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