MADAME ALEXANDER DOLL APPRAISAL REQUEST FORM

Please fill in all of the information below to the best of your knowledge. Our appraisal fee is $5.00 per doll.

• NAME OF DOLL: ______________________________________________________________
• TYPE OF DOLL (check one): BABY ___ TODDLER ___ CHILD ___ ADULT ___
• LENGTH (How many inches tall): _____
• MARKINGS ON BACK OF NECK (if any): __________________________________________
• MARKINGS ON BACK OF SHOULDERS (if any): ____________________________________
• BODY MATERIAL (check one): ALL-CLOTH ___ WOOD PULP COMPOSITION ___

HARD PLASTIC ___ VINYL ___ COMBINATION ____________________________________

• HAIR (check one): ORIGINAL MOLDED AND PAINTED ___ ORIGINAL APPLIED WIG ___

ORIGINAL ROOTED HAIR ___ REPLACED WIG ___

• COLOR OF HAIR: _____________________________
• CONDITION OF HAIR (check one): ORIGINAL HAIRSET ___ LIGHTLY PLAYED WITH ___

DISHEVELLED ___ BALD SPOTS ___

• EYES (check one): OPEN/PAINTED (stationary) ___ OPEN/CLOSE (sleeping) ___

FLIRTY (side to side movement) ___

• COLOR OF EYES: _____________________________
• CONDITION OF EYES AND EYELASHES: _______________________________
• CLOTHING (Y or N): ORIGINAL, COMPLETE OUTFIT ___

IF NO, WHAT ITEMS ARE ORIGINAL ___________________________________________________

SEWN IN LABEL (Y or N): ___

• CONDITION OF CLOTHING (check one): MINT (Like new) ___ SLIGHT DUST OR AGING ___

PLAYED WITH ___ PREVIOUSLY LAUNDERED & PRESSED ___ DIRTY, STAINED, TORN ___

• ORIGINAL BOX (Y or N): ___ If Yes, what is Item Number? __________
• WRIST TAG (Y or N): ___
• APPROXIMATE YEAR ACQUIRED: __________
• GENERAL OVERALL CONDITION/OTHER INFORMATION: ______________________________

CUSTOMER NAME

STREET ADDRESS, CITY, STATE, ZIP

DAYTIME PHONE NUMBER/EMAIL

TOTAL APPRAISAL FEE ($5.00 per doll) = __________

Payment by check or money order.

Please mail to: Dolls of Yesterday and Today, 3940 Clear Cove Lane, Dallas, TX, 75244.