Hasbro Parts Order Forms

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


Hasbro, Inc.

Power Tour Guitar
77369

US Residents ONLY

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 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.

INTERNAL USE ONLY:

CONTACT NUMBER: __________________________________________