Order Form

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Call toll-free 1 800-806-4593 (6 a.m. – 11 p.m. Central Time) or print out and mail this form to order WHICH WINE IS THIS?™ Regular Version Starter Editions and Individual Challenges, Poster Challenges or The WHITE WINE GAME™.

Mail to:

Parstone, Inc.
1404 Stonyhill Rd.
Lincoln NE 68520

(If paying by credit card, your name on the order form must be identical to the name on the card and the address must be the same as your credit card billing address.)

Billing Information:

___ Mr. ___ Ms. ___ Dr. ___ Mrs. ___ Miss ___ Business

Name (Please print) ______________________________________________________

Address ________________________________________________________________

City ______________________________ State _______ Zip/Postal Code ____________

Country (if outside U.S.) ___________________________________________

Phone (   ) ____________________ (Day)  (   ) ____________________ (Evening)

E-mail _____________________________ @ __________________________________

(Note: Orders may not be shipped to a PO Box. Please provide a street address.)

Shipping Information

___ Mr. ___ Ms. ___ Dr. ___ Mrs. ___ Miss ___ Business

Name (Please print) ______________________________________________________

Address ________________________________________________________________

City ______________________________ State _______ Zip/Postal Code ____________

Country (if outside U.S.) ___________________________________________

_____ Check here if game is being shipped as a gift.

Standard shipping is free within the Continental U.S. Most orders are shipped via regular mail. Two-day and overnight shipping options are also available – please call for rates; residents of Alaska, Hawaii, Canada and other locations please call for applicable rates.

Use these spaces to list the WHICH WINE IS THIS?™ Regular Version Starter Editions, Individual Challenges and Poster Challenges you wish to order:

Product ID #	Product Description	Price	Quantity	Total
__________	______________________________	_______	_______	________
__________	______________________________	_______	_______	________
__________	______________________________	_______	_______	________
__________	______________________________	_______	_______	________
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__________	______________________________	_______	_______	________
__________	______________________________	_______	_______	________
__________	______________________________	_______	_______	________
00001	The WHITE WINE GAME™	$49.95	_______	________
Total All Items:				________
Nebraska Residents Add 7.0% Sales Tax:				________
Total For Order:				________

Payment Method (Please check one; sorry no cash or CODs)

___ Check or Money Order – Payable in U.S. funds to Parstone, Inc.
___ MasterCard ___ Visa ___ American Express

Name on card _________________________________________________________

Acct# ________________________________________________________________

Exp. Date _____ (Month) ________(Year)

Return Policy: Return any order within 60 days of purchase for complete refund of the original purchase price.

Privacy Policy: Parstone, Inc. respects the privacy of our customers. The information you provide us is used strictly to help us serve you better. It will not be given to any other company or organization. More information is available on our privacy policy page.