Alternative Gift Order Form Your Name: Your Address: City:
State:
Zip:
Email Address: Credit Card #:
Exp:
Security Code:
Signature: Gift #1: Quantity:
x$
=$
x$
=$
x$
=$
Gift #2: Quantity: Gift #3: Quantity:
Total Alternative Gift Purchase: $ If you are giving this gift in honor of someone, would you like them to be notified? If so, please tell us more, so we may notify them. Your honoree will receive a notification of the gift between Dec 16-20, 2013. Honoree Name: Honoree Address: City:
State:
Zip:
Gift Chosen for Honoree: Quantity:
x$
=$
Honoree Name: Honoree Address: City:
State:
Zip:
Gift Chosen for Honoree: Quantity:
x$
=$
Honoree Name: Honoree Address: City:
State:
Zip:
Gift Chosen for Honoree: Quantity:
x$
=$
Orders can also be made online at CCOzarks.org or by calling 417-862-3586 ext. 233 Thank you for your gift from the heart!
Season of Giving Gifts from the Heart