Name _______________________________________________________ Address _______________________________________________________ City _________________________ State __ Zip ________________ Phone _______________________________________________________ E-Mail Address _______________________________________________________
Name _______________________________________________________ Address _______________________________________________________ City _________________________ State __ Zip ________________
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