Order Wedding/Anniversary
Date History

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This form will allow you to design and order your Wedding Date History.  Please provide the following information and submit to us online.

1)  Buyer Information~

Buyers Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal code
E-Mail Address
Telephone
How did you learn about Gifts of History?
If you are ordering from mailing piece you received please put code or Tracking Number Here:

2)  Ship To Information~

If shipping information is the same as buyer information, check this box and proceed to section 3.

NOTE:   If shipping information is different than buyer information, the mailing label will state "This is a gift from Buyer".

ShipTo Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal code
Telephone

Do you want a gift message? If so type here:



3)  Personalization Information~

The following is required information for personalizing your certificate:

Bride:
First Name
Middle Initial Or Name
Last (Maiden Name)
Groom:
First Name
Middle Initial Or Name
Last Name
Date of Wedding Month   Day   Year
City of Wedding
State of Wedding

4)  Optional Personalization Information~

Time Of Wedding
Wedding Performed By
Wedding Performed At:
(Church, Synagogue, etc...)

5)  Design Options~

Choose framed or unframed

Framed       Unframed

NOTE:  If you choose Framed, please select a FRAME COLOR below,
otherwise skip to next section.

Choose A Frame Color

Dusty Rose    Shadow Blue   Golden Oak
Pearl White    Mahogany

6)  Your Order and Cost~ (Select One)

Item Cost Plus Shipping
and Handling 		Price Qty Total
(Price X Qty)
Wedding/Anniversary
     History Framed 		34.95 7.95 $42.90
Wedding/Anniversary
     History Unframed 		12.95 3.95 $16.90
Are You a Florida Resident? If So Please Select "YES" :  
Florida residents are required by law to pay 7% sales tax on Internet Orders  

FINAL TOTAL (Amount to charge credit card):

A separate order form must be completed for each Gift Of History.


Unframed Wedding Date Histories are shipped flat via First Class mail.
Framed Wedding Date Histories are shipped via Priority Mail or UPS.

7)  Payment Options~

Credit Card Type:
Name On Credit Card:
Credit Card Number:
Expiration Date: mm/dd/yyyy

8)  Enter any additional comments or questions below~

 

Please contact me as soon as possible regarding this matter.

9)  Place Your Order!

If ordering online, simply click SUBMIT ORDER ONLINE below and your order will process immediately.

For telephone, fax or mail orders, complete and PRINT this form for your records and see 4 Ways To Order for further instructions.   Thank you!

Gifts of History
3136 Dothan Road
P.O. Box 128
Green Cove Springs, FL 32043
Phone 1-800-494-1200
Fax (904) 284-4186

PLEASE CLICK SUBMIT ONLY ONCE OR YOU WILL RECEIVE MULTIPLE ORDERS
DUE TO FORM VALIDATION, THANK YOU.

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