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Contact Information | |||
Recipient's Phone | |||
Recipient's Email | |||
Billing Information | |||
Giver's Full Name | |||
Giver's Phone | |||
Giver's Email | |||
Amount of gift: |
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Type of card | |||
Card Number | |||
Valid Thru (month/year) | |||
Security Code (Back of Card) | |||
Card Zip | |||
Refund Policy: 96% of your payment will be refunded to this card if you request a refund within 30 days. (The 4% covers my credit card fees.) To eliminate internet fraud, a refund will only be made to the same visa or master card as the payment. | |||