BEST FOOT FORWARD GIFT CERTIFICATE ORDER FORM Name(s) of recipient(s): _______________________________________________________ Recipient(s) address -- (if certificate is to be mailed directly to them): Street: ____________________________City: ______________ State: ____ Zip: ______ If you prefer certificate to be mailed to you as purchaser, please check here. _____ Certificate is for: _____Private lesson _____Class series _____the Wedding Crash Course Please use the space below to compose any message you wish to appear on the gift certificate:       Purchaser's name _________________________________________ Purchaser's mailing address and contact information: Street: ______________________________ City: ______________ State: ____ Zip: ______ Phone number (please indicate if day or evening) : __________________________ Email address: _________________________________________ Please confirm my order to me by: _____ phone _____ email Total amount of Gift Certificate: $_____________ Payment Type: ___ Check     ___ Credit Card   __ Mastercard     __ Visa     __ Discover     __ AMEX   Card # _______________________________ Expiration Date ___/___   CVV code (3-digit security code on back of card)_______   Signature: ____________________________________ Where did you first hear about Best Foot Forward? ___ Friends ___ Flyers ___ Boston Wedding Group ___ Elegant Wedding ___ Web search ___ DanceNet ___ TheKnot.com ___ Boston Magazine ___ Other For fastest service by credit card, fax your completed form to us at: 617-916-5626. Checks should be made out to Best Foot Forward and payments sent to: 100 Clearwater Road, Newton, MA. 02462-1106. Any questions? Call 617-916-5757 or email us at: bestfootforward@rcn.com