GIFT CARD ORDER FORM

To complete order print and fax to Ruth Daniels at 248-920-0806

Number of $25 Gift Cards

  

@ $25.00 ea

=

  

Number of $50 Gift Cards

  

@ $50.00 ea

=

  
Number of $100 Gift Cards  

@ $100.00 ea

 =  

Subtotal

  

Handling Charge

$5.00

$5.00

Overnight Mail Charge

$20.00

 

Total

  

Date:

  

Name:

  

Company Name:

  

Address:

  

City/State/Zip:

  

Phone Number:

  

Fax Number:

  

E-Mail Address:

  

Check One:          

We accept Visa and Mastercard  
Credit Card Number
   		Expiration Date
  

For more information email marketing@emagine-entertainment.com or call 248-703-0997.