Please enter your information within the box lines, proof read your information, print as one page, send to address below.

Name:
Address:
City: State: Zip:
Phone:
E-Mail Address:
(Please provide your e-mail address so we can keep you informed on the status of your order.)

Gift Certificates Make Great Stocking Stuffers!

Gift certificates are fun to give and receive during the Holidays, or anytime!
Order your "Palio Gift Certificates" below.
They're available in certificate amounts $15.00, $25.00 and $50.00.


How did you hear about "Palio Photo Gifts"? NewspaperFlyerStore Pin-UpDirect MailFriends/FamilyBusiness CardPostcardOn-Line SearchRepeat Customer


Please select your method of payment. Money Order,(order processed same day)Bank Check, (order processed in 3 bus. days)Personal Check, (order processed in 7 bus. days)
Please Note: A $45.00 fee will be collected on NSF checks.


$15.00 gift certificate. How many? $0.001@ $15.002@ $30.003@ $45.004@ $60.005@ $75.006@ $90.007@ $105.00
$25.00 gift certificate. How many? $0.001@ $25.002@ $50.003@ $75.004@ $100.00
$50.00 gift certificate. How many? $0.001@ $50.002@ $100.003@ $150.004@ $200.00


Add your total below.

Sub Total....
Shipping fee (.50¢) per
Certificate..1@ .502@ 1.003@ 1.504@ 2.005@ 2.506@ 3.007@ 3.508@ 4.009@ 4.5010@ 5.00
Total...........


Please print this form, send with your photo's and check payable to:

K.A. Paliokaitis
1033 W. Hawkins Street
Kankakee, IL. 60901


Gift Certificates can be redeemed only on photo gifts, and are not redeemable for cash.
Purchase must be equal to or greater than the certificate amount.

Thank You for your order, and for visiting "Palio Photo Gifts" website!

Since 24 Oct 2001