Name:
Phone Number:
Email Address:
Address:
Who do you want me to e-mail this form to (Name and e-mail):
The person I am sending this list to, is your:
Mother
Father
Sister
Sister-in-Law
Brother
Brother-in-Law
Husband
Daughter
Daughter-in-Law
Son
Son-in-Law
Friend
Co-worker
Cousin
Other, please spedify below
more than one person, please spedify below!
List items desired (item# / description / price / quanity):
It would be OK to get a gift card for SU merchandise instead of the selected items (this way I can use it on an order through Claudia Perry):
Yes
No
Additional Notes:
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