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DOLL HOSPITAL ADMISSION FORM HOSPITAL Where Your American Girl Doll Goes to Get Better! ® Please Allow Two to Four Weeks for Repair

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DOLL HOSPITAL ADMISSION FORM HOSPITAL Where Your American Girl Doll Goes to Get Better! ® Please Allow Two to Four Weeks for Repair ® DOLL DOLL HOSPITAL ADMISSION FORM HOSPITAL Where your American Girl doll goes to get better! ® Please allow two to four weeks for repair. To learn more about our Doll Hospital, visit americangirl.com. Date / / Name of doll’s owner We’re admitting Hair color Eye color (Doll’s name) All repairs include complimentary wellness service. After repairs, dolls are returned with: For 18" dolls—Certificate of Good Health • Doll Hospital Gown and Socks • Doll Hospital ID Bracelet • Get Well Card WI 53562 eton, For Bitty Baby™/Bitty Twins™ dolls—Certificate of Good Health • Doll Hospital Gown and Cap • Get Well Card For WellieWishers™—Certificate of Good Health • Doll Hospital Gown and Socks • Get Well Card DOLL HOSPITAL A la carte services for ear piercing/hearing aid installation excludes wellness service and other items included with repairs. Place Fairway 8350 Middl Type of repair/service: Admission form 18" AMERICAN GIRL DOLLS Total price Bill to: USD: method. a traceable via the hospital doll to your REPAIRS Adult name Clip and tape the mailing label to your package to send send to package your to the mailing label Clip and tape Send to: New head (same American Girl only) $44 Address New body (torso and limbs) $44 New torso limbs (choose one) $34 Apt/suite Eye replacement (same eye color only) $28 City Doll Hospital Admission Process Reattachment of head limbs (choose one) $32 Place your undressed doll and admission form Wellness visit $28 State Zip Code Skin cleaned, hair brushed, hospital gown, with payment attached, including shipping and certificate, but no “major surgery” † charges, in a sturdy box. Please do not wrap SERVICES Home telephone your doll in newsprint. If sending more than one Ear piercing for AG Rewards™ members Cell doll, please complete a separate admission form through August 31* $10 for each one. Tape the mailing label (above) to Ear piercing for non-members $16 E-mail address your package to send your doll to the hospital Add hearing aid left right both $14 via a traceable method. Doll will be shipped to address above unless an alternate address is given below. W 1008 BITTY BABY & BITTY TWINS Ship to (if different from “bill to”): Important information about your repair: New head (same Bitty Baby or Bitty Twin only) $22 Name New body (torso and limbs) $22 † Wellness Visit skin-cleaning will remove most surface Eye replacement (same eye color only) $18 Address dirt from your doll’s vinyl, but is not likely to remove Reattachment of head $16 ink or dye stains. Wellness Visit hair-brushing will Apt/suite improve the appearance of the doll’s hair, but will not Wellness visit $18 Skin cleaned, hair brushed, hospital gown, make a well-played-with doll’s hair look brand-new. and certificate, but no “major surgery” † City • All replacements & attachments include skin cleaning State Zip Code WELLIEWISHERS & hair brushing at no additional charge. Wellness visit $18 Comments: • Admission of a complete doll (head and body) is Skin cleaned, hair brushed, hospital gown, and certificate, but no “major surgery” † required to purchase a new head or body. New head & body (head, torso and limbs) $44 • Altered/unidentifiable dolls may not be accepted Ear piercing for AG Rewards™ members • Parts replaced through surgery will not be returned. through August 31* $10 Ear piercing for non-members $16 • We reserve the right to refuse repairs at any time for any reason Shipping & processing For US and its possessions $7.95 per doll • Shipping and processing fees are non-refundable. If doll is to be shipped to an international address other than Canada, please add $60.00. 2-Day add $10 Next Day add $20 SUBTOTAL *AG Rewards™ members receive American Girl doll (excluding Bitty Baby) ear piercing for $10, no purchase necessary from 6/1/19 through SALES TAX 11:59 p.m. Central Time on 8/31/19, while supplies last; limit three $10 doll ear piercings per transaction. Members must be signed in to their We are required to collect applicable sales tax for deliveries to the following states: Rewards Account online or provide their account information at retail. Offers are not valid at American Girl® Outlet; Indigo™ or Chapters™ retail AL, AZ, CA, CO, CT, FL, GA, IA, IL, IN, KS, KY, MD, ME, MI, MS, NC, NE, NJ, locations; Kohl’s; or Barnes & Noble retail locations or websites; or on orders shipping outside the US. Standard shipping and processing rates NV, NY, OH, PA, RI, SC, SD, TD, TN, TX, VA, VT, WA, WI, and WY. apply for non-promotional items. No refunds or adjustments on previous purchases, returns or exchanges, or orders in progress that have not yet shipped. Cannot be combined with other offers, substituted, or redeemed for cash. We reserve the right to limit order and item quantities. TOTAL Unfortunately, the offer will not be extended if you are unable to order due to technical issues. Payment method: Invoice will be mailed to purchaser as order confirmation. Check/money order MasterCard (16 digits) Enclose your personal check, money order, gift card, or credit card information as indicated below. Gift card (19 digits) Discover/Novus (16 digits) Make checks payable to American Girl. American Express (15 digits) Visa (16 digits) Credit card number CID number or gift card PIN code Expiration date – Month Year Signature of authorized buyer.
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