Hasbro Parts Order Forms

Print this order form and send completed form with payment to the address or fax number below.

Hasbro, Inc.

US Residents ONLY

Quantity Amount
Subtotal _______
Please add your applicable sales tax except for the following States   
AK, DC, HI, ID, MT, ND, OR, PR, SD, VT, VI, GU.   
Total _______

  Method of Payment:      Please check one:
  Visa Mastercard American Express Check/MO
  Make check payable to : Hasbro Promotions and Direct
  Please print your credit card number below
Please print your credit card expiration date below. For your protection, please also provide the three digit credit card identification number (CID#) located on the back of your credit card. You will find the number in the signature box on your credit card. American Express ONLY: four digits located above the credit card number on front of card (CID#).
  Month Year CID#:

  Signature: _______________________________________

Name:__________________________________ (as it appears on credit card)

Address: _________________________________

Daytime telephone # (       )__________________________

Bill to address (if different from ship to address) - CREDIT CARD USERS ONLY


Please make check or money order payable to Hasbro Promotions and Direct

Mail to:    Hasbro Promotions and Direct
                P.O. Box 693
                Pawtucket, RI 02862-0693

Or, fax credit card orders to (401) 431-8082

All sales final. Hasbro reserves the right to limit quantities. Offer good while supplies last.
Please allow 4-6 weeks for delivery.

�2006 Hasbro, Inc.


CONTACT NUMBER: __________________________________________