Haley Productions' Order Form
Please print this page.
Fax to: 510-235-0118.
You can also mail this form with your check or money order to:
Haley Productions, 3401 Rheem Avenue, Richmond, CA 94804 USA
Haley Productions does not sell or share their customer information.
DATE:____________________
NAME as it appears on your credit card:____________________________________________
ADDRESS (must be the same address the card is billed to):
_____________________________________________________________________________________
_____________________________________________________________________________________
CITY:____________________________________
STATE:____________ ZIP:_____________
EMAIL:________________________________________________________________
(**REQUIRED.
We’ll send the game kit here.**)
TELEPHONE NUMBER, INCLUDING
AREA CODE (required): (_______)________________
MasterCard Visa AMEX Discover
Card #: ____ ____ ____ ____-____ _____ ____
____-____ ____ ____ ____-____ ____ ____ _____
Expiration
Date: ________-________ (mmyy) Coupon Code (if any):_____________________
Script Choice (please check
all your choices).
Thank you for your order. The
package will be emailed to you within 1 business
day.
We’ll send you
a receipt with your order. Privacy,
guarantee, return policy. HOME