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Print This Page Please print, fill out & mail along with your check or money order to:
L. Huffman Studios
5014 S. 3rd Avenue
Everett, WA 98203-4133
Phone: 425-252-2742
When your order is processed,
we will send a pre-stamped kit containing a vial and/or a hair sample card,
a complete set of instructions and a selection form to the recipient that you
choose for the gift certificate.
Please use a new form for each gift certificate
We will also send a confirmation to you stating that the kit was sent and to whom.
INFORMATION ON PURCHASER
NAME___________________________________________________________________________________
ADDRESS_______________________________________________________________________________
CITY________________________________ STATE & ZIP CODE__________________________________
PHONE_____________________________
E-MAIL_____________________________________________
INFORMATION ON RECIPIENT
NAME ___________________________________________________________________________________
ADDRESS________________________________________________________________________________
CITY________________________________ STATE & ZIP CODE___________________________________
PHONE (optional)__________________________ E-MAIL _________________________________________
SHORT MESSAGE TO RECIPIENT
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
One $70.00 gift certificate __________
One $80.00 gift certificate __________
One $135.00 gift certificate __________
One $165.00 gift certificate
__________
Sub-total __________
8.6% tax if in Washington State __________
Total __________