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Purchaser Information

Name

Address

City

State Zip

Daytime Phone

 


 

Recipient Information

Name

Address

City

State Zip

Order Form

 

Gift Amount $

 

Reason for the Gift

(e.g. wedding/shower/engagement/birthday/holiday or other special occasion)

 

Send the gift acknowledgment card:

To the purchaser     To the designated recipient

 

Make check or money order payable to Beth Engel Photography and mail completed form to:

 

Beth Engel Photography

2056 N Cambridge Ave, Milwaukee WI  53202

 

or fax form to:

(414) 225-0661 or toll-free (877) 885-5508 x4364

 

On the date your payment is processed, we'll produce the gift acknowledgement card and send the card to you or mail it directly to your designated recipient as indicated above.

 

    

                Your Signature                          Date