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Blank Order form for Gift Certificates (Simply print this page, fill out your copy, and send it in) |
| Name: | _________________________________________________________ |
| Address: | _________________________________________________________ |
| City: | _________________________________________________________ |
| State: | _________________________________________________________ |
| Zip Code: | _________________________________________________________ |
| Day Phone: | _________________________________________________________ |
| E-Mail: | _________________________________________________________ |
| Item Description: | Quantity: | $ Each: | $ Total: |
| Gift Certificate for small photo | ________ | $25.00 | _______ |
| Gift Certificate for large photo | ________ | $40.00 | _______ |
| Gift Certificate for Castle Kit | ________ | $50.00 | _______ |
| Total:_____________________ | |
| In Michigan 6%:____________ | |
| Order Total:_______________ | |
| Check (___) Please make payable to Jeff Holbrook |
| Money Order (___) Please make payable to Jeff Holbrook |
| Signature____________________________________________________ |
| Send to: Jeff Holbrook, 4098 Moulton Dr., Flint, Michigan 48507 Thank You! |
| www.jeffholbrook.com |
| (810) 513-1369 |