Secret Defender's Treasure Chest: Order Form

All bold areas are required. All TN residents require 9.5% tax. Shipping minimum 3.00, 12.00 if Ground.


Email :
Name :
Address :
City :
State :
Zip Code :
Country :
Phone # (required if Ground shipping):
Mail to (if different than above) :
Payment Form :	Cash [USA Funds] Money Order [USA Funds] Sell, Trade or Credit Special Order
Shipping :	USPS Media USPS Priority USPS Express USPS Outside of USA (4 pounds or under) USPS Priority Outside of USA USPS Express Outside of USA FedEx Ground FedEx Ground Express FedEx Ground Outside of USA FedEx Ground Express Outside of USA UPS Ground UPS Express UPS Ground Outside of USA UPS Ground Express Outside of USA
Optional :	USPS Insurance (USA only) USPS Signature Confirmation (USA only, required and free if value is over 49.99) FedEx or UPS Signature (required and free if value is over 49.99)
Order :
Video Orders :	VHS DVD-RW DVD+RW CD-RW VCD Any (default if none selected)
Layaway:	Yes
Mailing List :	Videos Comics Both
Adult Items :	No Yes (include proof of id and signature with order)
Contract :	I don't understand and have question(s) I understand and agree to the FAQ & Laws

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