Off-Line Order Form
Please print this screen for use with phone, fax and mail orders.
The shopping cart is empty.
Personal Information
This is the address to which your receipt will be sent, and also the address to which products will be shipped unless otherwise specified below.
Name _______________________________________________________
Address _______________________________________________________
City _________________________ State __ Zip ________________
Phone _______________________________________________________
E-Mail Address _______________________________________________________
Shipping Information
Only complete this area if you would like the products to be shipped to an address other than the one listed above (i.e. a gift).
Name _______________________________________________________
Address _______________________________________________________
City _________________________ State __ Zip ________________
Credit Information
Select your credit card type:
Name as it appears on card _________________________________________________
Credit Card Number ____________________
Expiration Date (mm/yy) __________
Phone Orders (414) 425-8002 (VISA/MC/AMEX)
Fax Orders (414) 425-8095 (VISA/MC/AMEX)
U.S. Mail: Gift Of Wings
9955 W. St. Martins Rd.
Franklin, WI 53132
Make checks payable to: Gift Of Wings
Thank You For Your Order!
After printing this order form, you can:
Copyright 1997, Cycom Communications Corporation
Portions Copyright 1997, GOW, Inc.