WalkingWord Gift Certificate Order Form

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If you would like to redeem your gift certificate please fill our the information. Please email us with any questions or if you need assistance with this form. info@walkingword.org

Certificate Number: Certificate $ Amount:

Today's Date:

-- mm/dd/yy

We have made some gift cards that you can share with your family and friends! Gift Certificate will be mailed to the address you give when you check out with Paypal.

If you wish to have the gift certificate mailed to a different address please email us.

Email Gift Certificate to address:

Choose amount

        Please list the items you would like:

QTY ITEM / PRICE

Please remember to add shipping cost.

$0.01 to $6.00        add   $5.00 for shipping

$6.01 to $15.00      add $7.95

$15.01 to    $34.00     add $10.98

$34.01 to    $75.00     add $16.95

Please provide the following shipping and contact information:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

E-mail

May we ask where, who or how did you get this certificate?

Please add any comments or questions.

$0.01 to	$6.00 add	$5.00 for shipping
$6.01 to	$15.00 add	$7.95
$15.01 to	$34.00 add	$10.98
$34.01 to	$75.00 add	$16.95

First Name
Last Name

Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

WalkingWord Gift Certificate Order Form

Author information goes here.Copyright © 2003 [WalkingWord, LLC]. All rights reserved. Revised: 03/26/10

Author information goes here.
Copyright © 2003 [WalkingWord, LLC]. All rights reserved.
Revised: 03/26/10