Rocktoys LONG Order Form
---We do not require that you use this form when ordering.---

Mail or fax this completed form to the address or phone number below.
(Use your keyboard or print clearly.)

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California orders must add 7.75% sales tax...Others enter zero. CA Tax:
U.S. shipping is $5.00 for first item plus $0.50 each additional. Shipping:
TOTAL:
Please type your name & shipping address
exactly as it should appear on your parcel:
Select your preferred
method of payment:

Name:
Address:
...Address:

Money Order
Check/Draft
American Express
MasterCard
VISA
City, State:
Postal Code:
Country:

(For credit card orders only)
Phone Number: Credit Card #:
Name On Card:
Expiration Date:

Email Address:


Visa, MasterCard, and American Express orders must include
a daytime phone number, and the submitted shipping address
must be on file with the card issuer (same as billing or statement
address). If this information is not submitted as required,
your order will not be processed.

Please include any instructions to help us fill your order in the event
that an item is no longer available. (Let us know if a partial order is
acceptable or if you have any alternate selections.) Be sure to read
our ordering instructions and FAQ including return policies, etc.

SEND THIS FORM TO:

ROCKTOYS
P.O. BOX 7125
PETALUMA, CA 94955
U.S.A.
THANK YOU! © 2005 ROCKTOYS