Hasbro, Inc



Hasbro, Inc.My Baby Alive # 24783PriceQuantityAmountFood Packets 2$ 1.00 _______________Bowl$ 1.25________ _______Spoon$ 0.50 ________ _______Bottle W/Nipple & Cap$ 1.25_______________Diapers (2)$ 2.00_______________Bib$ 1.00_______________Instructions N/C________ _______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:VISAMASTERCARDAM.EXPRESSCheck/MOMake check payable to: Hasbro Promotions and DirectPlease print your credit card number belowPlease print your credit card expiration date below. For your protection, please also provide the three digit credit card identification number (CID#) 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#).MonthYearCID#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 DirectP.O. Box 693Pawtucket, RI 02862-0693 or:Fax Credit Card Orders to: (401) 431-8082All sales final. Hasbro reserves the right to limit quantities. Offer good while supplies last. Please allow 4-6 weeks for delivery.?2003 Hasbro, Inc.INTERNAL USE ONLY: CONTACT NUMBER_____________________________________ ................
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