Feathered Gems Jewelry Gift Certificate Order Form

Gift certificates are available by Mastercard, Visa, American Express, or Discover purchase only.

You may purchase a gift certificate for any amount ($10.00 minimum).

Print out this form, fill in the blanks, and fax or mail along with credit card information.
Mail to: Feathered Gems, PO Box 722, Lincoln Park, MI 48146
Or fax to (313) 928-9123

If you are ordering more than one gift certificate, please use a separate order form for each one.
If you would like the certificate mailed directly to the recipient,
please include their complete mailing address, otherwise it will be sent to you.

If you would like a printable gift certificate e-mailed to the recipient, 

be sure to include their e-mail address and mark the "E-mail Certificate" line "Yes". 

And I need the name of the recipient for my records.

AMOUNT OF CERTIFICATE:___________________

 

RECIPIENT'S NAME:________________________________________________________________

PURCHASER’S NAME:____________________________________________________________________

ADDRESS:________________________________________________________________________________

CITY:__________________________________ STATE:___________ ZIP CODE:_____________

PHONE#:________________________________________

E-MAIL:_________________________________________

PAYMENT METHOD:     MASTERCARD_______    VISA_______    DISCOVER______   AM/EX______

CARD NUMBER______________-______________-______________-______________

EXP. DATE ________/_________

PLEASE SEND IT TO:______________________________________________________________________

ADDRESS:_______________________________________________________________________________

CITY:__________________________________ STATE:___________ ZIP CODE:_____________

E-MAIL ADDRESS:_________________________________________________________________________

E-MAIL PRINTABLE CERTIFICATE TO RECIPIENT? ("yes" or "no") __________

WOULD YOU LIKE A PERSONALIZED GIFT CARD MAILED WITH THE GIFT CERTIFICATE? IF SO, PLEASE INCLUDE YOUR MESSAGE (PLEASE PRINT CLEARLY):

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

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