GIFT CERTIFICATE ORDER FORM


Gift Certificate in the Amount of:

Gift Certificate for:

Address of Gift Recipient:

 

Phone Number of Gift Recipient:

Personalized Message on Certificate:

 
 

Gift Certificate From:

 

Name for Billing Gift Certificate:

Address For Billing Gift Certificate:

 

Phone:                                                 Fax:                                                           Email:

Payment Method:  Money Order         Check                               Date Requesting Gift Certificate:



Print the above order form, then mail or fax to:

Diane Hark Art
P.O. Box 564
Wynnewood, PA. 19096
Phone/Fax: 610-642-8076
Email: diane@DianeHarkArt.com


Copyright © 1998 Diane Hark Art. All rights reserved.