Provide ALL of the following information. NOTE 1: DO NOT press the "ENTER" key until you are ready to Submit this Form. To move around the page, use the "TAB" key, "Arrow Keys", or Scroll the page with your mouse. NOTE 2: I am completely committed to Personal Privacy. Outside of what is needed to handle your order or request, none of the information you submit to Player-Care will be used for any other purpose, period!
HOME ADDRESS .Full Name (Example: John A Tuttle) .Valid Email Address (Example: jtuttle@my-isp.com) .Email Address (again - double-check) .Billing/Mailing Address (St, Ave, Rd, Dr, Ln, Ter, Cir, Apt, etc.) .City or Town (Example: Bricktown) .State (Example: New Jersey) .Zip Code ...Zip+4 (if known) .Phone Number (Incl. Area Code) Please take a moment to verify the accuracy of the information you submit!!
Use the Comments Box to explain the parts you want to list.
If desired, send pictures with a note to: johnatuttle@gmail.com
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