Print this order form and send completed form with payment to the address or fax number below.
| US Residents ONLY |
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| Quantity | Amount | ||
| Cable | $2.00 | _______ | _______ |
| DVD | $5.00 | _______ | _______ |
| Instructions | N/C | _______ | _______ |
| Strap | $3.00 | _______ | _______ |
| 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 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 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.
| INTERNAL USE ONLY: CONTACT NUMBER: __________________________________________ |