GIFT CERTIFICATE ORDER FORM
PURCHASED BY:
First Name Last Name Street Address City State Zip Email Address (*Required Field- Need so I can send confirmation)
First Name Last Name
Street Address City
State Zip
Email Address (*Required Field- Need so I can send confirmation)
PAYMENT METHOD:
American Express Visa Mastercard Discover Credit Card Number Expiration (example- 07/02)
American Express Visa Mastercard Discover
Credit Card Number Expiration (example- 07/02)
TYPE OF GIFT CERTIFICATE:
Christmas Certificate Regular Certificate Gift Certificate Amount: Half Hour Lesson- $70.00 One Hour Lesson- $125.00 One Hour (2 people) Semi Private Lesson- $140.00 Four - Half Hour Lessons Series- $240.00 Six - Half Hour Lessons Series- $345.00 Four - 1 Hour Lessons Series- $400.00 Six - Half Hour Lessons Junior Series-(age 17 and under) $300.00 Four - 1 Hour Semi Private Lessons(2 people)- $480.00 One - 2 Hour Group Lesson- $140.00 per person
Gift Certificate Amount: Half Hour Lesson- $70.00 One Hour Lesson- $125.00 One Hour (2 people) Semi Private Lesson- $140.00 Four - Half Hour Lessons Series- $240.00 Six - Half Hour Lessons Series- $345.00 Four - 1 Hour Lessons Series- $400.00 Six - Half Hour Lessons Junior Series-(age 17 and under) $300.00 Four - 1 Hour Semi Private Lessons(2 people)- $480.00 One - 2 Hour Group Lesson- $140.00 per person
GIFT CERTIFICATE PURCHASED FOR:
Recipient name on certificate:
MAIL CERTIFICATE TO:
Email (will print in color if using a color printer) Purchaser-address above Address Below First Name Last Name Street Address: City State Zip
Email (will print in color if using a color printer)
Purchaser-address above
Address Below
Street Address: City
HOW DID YOU HEAR ABOUT MICHELLE DUBE?:
Southland Golf Magazine Website California Golf Magazine Friend Brochure Tijeras Creek Driving Range Other
Southland Golf Magazine Website California Golf Magazine Friend Brochure