Provide ALL of the following information.
NOTE 1: DO NOT press the "ENTER" key until you are ready to Submit this Form. To move around the page, use the "TAB" key, "Arrow Keys", or Scroll the page with your mouse. NOTE 2: I am completely committed to Personal Privacy. Outside of what is needed to handle your order or request, none of the information you submit to Player-Care will be used for any other purpose, period!

BILLING ADDRESS (your home address or PO Box -see NOTE)
.Full Name (Example: John A Tuttle)
.Valid Email Address (Example: jtuttle@my-isp.com)
.Email Address (again - double-check)
.Billing/Mailing Address (St, Ave, Rd, Dr, Ln, Ter, Cir, Apt, etc.)
.City or Town (Example: Bricktown)
.State (Example: New Jersey)
.Zip Code ...Zip+4 (if known)
.Phone Number (Incl. Area Code)
Please take a moment to verify the accuracy of the information you submit!!
NOTE: As a general rule, your PO Box is "NOT" the address that your credit card company has on file as your Billing Address. Most often the correct address is your home address. If you're not sure, please list your Home Address.

SHIPPING ADDRESS (IF DIFFERENT THAN BILLING)
.Full Name (Example: John A Tuttle)
.Shipping Address (incl. St, Ave, Rd, Apt, etc.)
.City or Town (Example: Bricktown)
.State (Example: New Jersey)
.Zip Code
.Phone Number

CREDIT CARD INFORMATION
.Card Holder's Name (A Person's Name)
.Credit Card Number (16 digits) (Visa, MasterCard, Discover, or AMEX)
.Credit Card Number (again)
.Expiration Date (Example: 12/08 [mo/yr])
.Security Code (CVV Code, 3 digits or 4 for AMEX)

SELECT TYPE OF TEST ROLL

PLAYER-CARE TEST ROLL ($34.70)

MEL-O-DEE TEST ROLL ($38.80)

Shipping Options:
By default, the test roll will be shipped via USPS Priority Mail.

USPS Priority (Free Delivery Confirmation)

USPS Insurance

As per the Fair Credit Billing Act, your bank cannot hold you liable for more than $50.00 of fraudulent credit card charges. PLAYER-CARE will pay the $50.00 if the unauthorized use of your card resulted from a purchase made through our site. We are so confident of the security measures we've put in place, we'll also pay you an additional $25.00 just for the inconvenience!

Unless I contact you with information to the contrary, you will receive the Email E-nvoice® within 24 Hours (Mon-Sat). Generally speaking, orders received before 2PM EST are shipped the same day.

Concerned about the Security of Your Personal and Credit Card Information? Please don't be. My web domain does not use any 'Third Party Providers' for credit card transactions. All transactions are personally handled by John A Tuttle via Converge. Below is a copy of my 'Certificate of PCI Validation'. (Click on the graphic to see the full-size image.)

Since "Player-Care" is an internet business, I prefer that we correspond via E-Mail (click here to fill out the 'Request Form'). However, if I'm not in the middle of some other activity, you can reach me at 732-840-8787. But please understand that during the hours from 8AM-5PM EST (Mon-Sat), I'm generally quite busy. So, I probably won't answer the phone. If you get the answering machine, please leave a detailed message stating the reason for your call. Also, repeat your name and phone number clearly and distinctly. By necessity, I prioritize everything in my life. And, if you call and just leave your name and number, and ask me to call you back, it might be a day or two before I return your call. Why? Because I don't know why you want me to call and I might not be prepared to assist you in an effective and efficient manner. If you leave me an E-Mail address (which I prefer), spell it out phonetically. The more you do to help me, the more I can help you in return. Don't rush. You have four minutes to record your message.