Off-Line Order Form

Please print this screen for use with phone, fax and mail orders.

Personal Information

This is the address to which your receipt will be sent, and also the address to which products will be shipped unless otherwise specified below.

Name           _______________________________________________________

Address        _______________________________________________________

City           _________________________ State __ Zip ________________

Phone          _______________________________________________________

E-Mail Address _______________________________________________________

Shipping Information

Only complete this area if you would like the products to be shipped to an address other than the one listed above (i.e. a gift).

Name    _______________________________________________________

Address _______________________________________________________

City    _________________________ State __ Zip ________________


Credit Information

Select your credit card type:
Visa
Master Card
American Express
Check Enclosed

Name as it appears on card _________________________________________________ 

Credit Card Number         ____________________

Expiration Date (mm/yy)    __________


Phone Orders  (414) 425-8002  (VISA/MC/AMEX)
Fax Orders    (414) 425-8095  (VISA/MC/AMEX)

U.S. Mail:    Gift Of Wings
              9955 W. St. Martins Rd.
              Franklin, WI 53132

Make checks payable to: Gift Of Wings

Thank You For Your Order!

After printing this order form, you can:
Copyright 1997, Cycom Communications Corporation
Portions Copyright 1997, GOW, Inc.