JOE'S PLAYLAND

GIFT CARD ORDER FORM

Mail your order form and check/money order to:

       Joe's Playland

       PO Box 5514

     Salisbury, MA 01952

Please make checks payable to: Joe's Playland

 Gift Card    (minimum gift card denomination is $5)

          Quantity:  _______       Amount:  $______

          Quantity:  _______       Amount:  $______

          Quantity:  _______       Amount:  $______

 Total Enclosed:  __$____________

 CUSTOMER INFORMATION:

 Name: __________________________________

 Address:  _______________________________

 City: _____________________ State: ____    Zip: _________

 Phone Number:  _________________

(in case we need to contact you concerning your order)

 E-mail:  _________________________________

    Check here if you would like to be added to our mailing list to receive e-mails and information about upcoming events  and coupons.

SHIPPING INFORMATION (if different from customer information):

 Name: __________________________________

 Address:  _______________________________

 City: _____________________ State: ____    Zip: _________