* Required fields

FIRST NAME*
M.I.
LAST NAME*
COMPANY NAME
COUNTRY*
STREET ADDRESS*
CITY*
STATE / PROVINCE*
ZIP / POSTAL CODE*
PHONE NUMBER*
EMAIL*
ADDRESS NICKNAME* ? The Address Nickname is a short name you create to help you easily identify this address within your address book.
Add to address book.
Save as default shipping address in Address Book

* Required fields

FIRST NAME*
M.I.
LAST NAME*
COMPANY NAME
COUNTRY*
STREET ADDRESS*
CITY*
STATE / PROVINCE*
ZIP / POSTAL CODE*
PHONE NUMBER*
EMAIL*
ADDRESS NICKNAME* ? The Address Nickname is a short name you create to help you easily identify this address within your address book.
Add to address book.
Save as default shipping address in Address Book
[rx-DefaultAddrConfirm]

- You are changing your Costco Default Shipping Address. All future orders from Costco.com, including Pharmacy Prescription Orders, will be sent to this Address.

Use as my default billing address
Billing Address Nickname * ? The Address Nickname is a short name you create to help you easily identify this address within your address book.
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