GIFT MESSAGE GIFT MESSAGE SHIPPING DATE CHRISTMAS THANKSGIVING OTHER DATE _____________ PLEASE ADD UP TOTAL AMOUNT FOR ENTIRE ORDER GIFT MESSAGE SHIPPING DATE CHRISTMAS THANKSGIVING OTHER DATE _____________ PRICE $ _____________ SHIPPING $12.95 PER BOX $ _____________ (CANADIAN SHIPPING $23.95 PER BOX) TOTAL $ _____________ SHIP GIFT TO _________________________________________________________________ ADDRESS_____________________________________________________________________ CITY _____________________________________________________________________ STATE _____________________________________________________________________ ZIP _____________________________ PHONE #____________________________________ GIFT NUMBER CLUB PLAN NOV DEC JAN FEB MAR CHOOSE 3 MONTH GIFT NUMBER OR 5 MONTH CLUB PRICE $ _____________ SHIPPING $12.95 PER BOX $ _____________ (CANADIAN SHIPPING $23.95 PER BOX) TOTAL $ _____________ SHIP GIFT TO _________________________________________________________________ ADDRESS_____________________________________________________________________ CITY _____________________________________________________________________ STATE _____________________________________________________________________ ZIP _____________________________ PHONE #____________________________________ SHIPPING DATE CHRISTMAS THANKSGIVING OTHER DATE _____________ GIFT NUMBER CLUB PLAN NOV DEC JAN FEB MAR CHOOSE 3 MONTH GIFT NUMBER OR 5 MONTH CLUB PRICE $ _____________ GIFT MESSAGE SHIPPING $12.95 PER BOX $ _____________ (CANADIAN SHIPPING $23.95 PER BOX) TOTAL $ _____________ TOTAL AMOUNT OF ALL GIFTS $ __________________ DISCOUNT AMOUNT IF APPLICABLE $ __________________ Not Available On Club Plan T O T A L S H I P P I N G C H A R G E S F O R A L L O R D E R S $ __________________ TOTAL AMOUNT OF ORDER $ _________________ 17 STATE _____________________________________________________________________ ZIP _____________________________ PHONE #____________________________________ GIFT NUMBER CLUB PLAN NOV DEC JAN FEB MAR CHOOSE 3 MONTH GIFT NUMBER OR 5 MONTH CLUB PRICE $ _____________ SHIPPING $12.95 PER BOX $ _____________ (CANADIAN SHIPPING $23.95 PER BOX) TOTAL $ _____________
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