Liturgix.com: Gift Certificate Form

Completing your gift certificate form is easy. Simply fill out and submit your name and address along with the name and address of the person, church or organization who will be receiving the certificate. Make sure all the required fields are specified (indicated with an asterisk sign in front).

1. Gift Certificate Details
We'll include the sender's name, the recipient's name, and a message on the gift certificate

* Sender's Name:
* Sender's Email:
* Sender's Phone/ Fax:
* Recipient's Name:
Recipient's Email:

* Gift Certificate Amount:	(in USD)

NOTE:
Please, check e-mail addresses; one small typo and we won't be able to communicate with you regarding your order.
To speed up the Gift Certificate receipt, please provide the recipient's email address (the gift certificate will be emailed to the recipient and could be used immediately).

2. Add your message:
Please type the message you would like to appear on the gift certificate.

(Maximum length 500 characters -- about 60 to 80 words)

3. Shipping Address
If you would like us to ship a printed copy of the gift certificate (along with a FREE copy of the latest Liturgix CDLog) to the recepient, please provide us with the mailing address

Name
Church/ Organization
Address:
City:
State or Province:
Zip or Postal Code:
Country:
Phone:
Fax: