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Pets on Glass Gift Certificate Order Form |
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Note: Use the PRINT key
in your browser to print this form to order
your Pets on Glass Gift Certificate(s).
We will return the gift certificate for you to present to the recipient and an
order form
that the recipient can return with the pet's picture to have the Pets on Glass
created
and shipped back to them.
1. Your Name: ________________________
Mailing address:_______________________
City: _________________ State: _________ Zip: _______
Email address:_______________ [if you want us to email you when your
certificate
has been sent]
Recipient's name (if you want it printed on the certificate we mail you)
_____________________________
2. Write check for payment
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(Payable to Gary Shepherd) |
cost ea |
amount enclosed |
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A) Pets on Glass (4" picture, 6" overall): |
$55.00 |
$ _____ |
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B) Pets on Glass (8" picture, 11" overall): |
$95.00 |
$ _____ |
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C) Pets on Glass (12" picture, 16" overall): |
$135.00 |
$ _____ |
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Shipping: A)$8 B)$10 C)$12 |
choose |
$ _____ |
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(NM only) add tax: A)$3.20 B)$5.52 C)$7.85 |
choose |
$ _____ |
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TOTAL ENCLOSED: |
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$ ________ |
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3.
Mail this form and your check to: |
Our Email and phone: |
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THANK YOU! |
We
appreciate the opportunity |