Name:____________________________________________
Address:_________________________________________
City &
State:____________________________________
Email:___________________________________________
Puzzle
Requested (Maximum Value not to exceed $15)
Item#:___________
Description:________________________________
please select an alternate choice you would like if
the puzzle above is not available
Item#:___________
Description:________________________________
Mail To: Puzzle Parade ▪
PO Box 12 ▪
Tiverton,
RI 02878