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Movietyme Lost Mail Sheet
Please note if you do not receive a title or product from Movietyme you must fill in this form and send/fax it to the following address/phone number:
 U.S. Customers: MovieTyme, PO Box 40284, Philadelphia, PA 19106
International (including U.K. & Europe): MovieTyme, PO Box 2346, Burntwood, Staffs WS7 8SE
Fax number: 0870 1385622
After you have printed the form, please read carfully the information at the bottom the page, sign and print your name.
Please print this form by using the print function in your browser. If you are using an old version of Netscape please print the form and manually fill in the spaces.
Name:
Address:
(Please do not fill in below the height of this window - this may cause some information to be missing when printed)
Tel No:
email address:
Date:
Titles or products not arrived:
MOST IMPORTANT: Please state exact date of being charged (you will find this on your credit card statement) (claim void if not completed):
(Please do not fill in below the height of this window - this may cause some information to be missing when printed)
I confirm that I have not received the above products from Movietyme and agree this information can be forwarded to local authorities for further investigation.
Failure to complete this form will result in claims being void.

Signed ......................................................................................................

Print Name ..............................................................................................
Fraudulent claims will be passed on to local Criminal Investigation Authorities for further investigation!
Below this line for office use only.