Please note this form has been disabled. The deadline for submitting claims has passed.

Please note: Only one (1) claim is permitted. All fields are required or your form cannot be processed!

Full Name:
Full Address:
Telephone Number:   (Format: 888-888-8888)
Date of Purchase:   (Format: MM/dd/yyyy)
I am a member of the class of persons who paid a fee for guaranteed replacement of lost or damaged merchandise to Carol Wright Gifts, Inc. n/k/a Cox Gifts, Inc. and Cox Target Media, Inc. and want to receive a refund of $1.00 for that charge which ranged from $.95 to a $1.50. Signature: In lieu of actual signature, a digital signature is used for verification purposes. Remember, the information you provide will be kept strictly confidential. Please sign with the following unique information:
Mother's Maiden Name:
Your Date of Birth: (Format: MM/dd/yyyy)