Send a Gift Certificate Lo. 
Name 
Address 
Amount of my gift $ 
Cash herewith (’-}¥ eor-charnge Joune tw). 
My Name 
My Address 
Name 
Address 
Amount of my gift $ 
Cash herewith ( ) or charge to me (_). 
My Name 
My Address 
Amount of my gift $ 
Cash herewith ( ) or charge to me (_). 
My Name 
My Address 
