Valarie Moyer’s Dolls Repair Request Form

NOTE: Prior to shipping, please attach photo of doll in present state of disrepair
Name: __________________________

Address: __________________________

City: ______________ State : ____________

Zip Code: ______________________

Daytime Phone:(____)_________________

Evening Phone: (____)_________________

Cell Phone:(______)___________________

Email Address:_______________________

Number of Dolls Enclosed:__________

Broken pieces enclosed: ____________

Clothing with Dolls? ___Yes ___No

Comments:_________________________________________

__________________________________________________

__________________________________________________

__________________________________________________
Please print this form and include it with the doll(s) you are sending.
We prefer USPS Priority Mail, as it is quick (2-3 days)
and less expensive than UPS for parcels under 15 pounds.

Our mailing address is:
Valarie Moyer
152 N. Hanover St.
Carlisle, PA 17013
717-254-6386