First Name__________________________ Last Name____________________________

Street Address_____________________________________________________________

City_____________________________________________ State_______ Zip_________

Daytime Phone_________________________E-Mail_____________________________

POLO SHIRTS $24.95 (Black, White, or Grey) Logo on left chest

Size	Color	Quantity	Cost	Total
Small	|	#	$	$
Medium	|	#	$	$
Large	|	#	$	$
X-Large	|	#	$	$

SWEATSHIRTS $28.95 (Black, White, or Grey) Logo on left chest

Size	Color	Quantity	Cost	Total
Small	|	#	$	$
Medium	|	#	$	$
Large	|	#	$	$
X-Large	|	#	$	$

CAPS $18.95 (One size fits all)

Quantity	Cost	Total
#	$	$
#	$	$
#	$	$
#	$	$

Total Enclosed $________ (U.S. Check or Money Order Only)

Please print this page and send this form along with your payment to:
Prodigy Entertainment Merchandise
P.O. 4498, Mountain View, CA 94040

Orders generally will ship within fourteen (14) business days. You will be contacted by e-mail upon any delay. Add $3.50 for shipping and handling. Add $1.00 for each additional item.