Gift Card Order Form

For your security, this site uses 128 bit SSL encryption and 1048 bit PGP encryption
You have elected to honor your friends and loved ones with a gift that helps feed the hungry and to announce the gift by us sending your honoree a card by mail.  To complete your order, simply fill out the form below.   The minimum gift is $15.

You may place your order on-line by providing credit card information and clicking the submit button at the bottom of the form.  

If you prefer, you may print out the form, complete it, and send it along with your check payable to "Society of St. Andrew" to:

Society of St. Andrew
3383 Sweet Hollow Road
Big Island, VA  24526

 

      In Honor Of               In Memory Of
Name:
Occasion:
Mail to Name: 
Address:
City: 
State:  Zip: 
              ===========================
From:
Address:
City: 
State:  Zip: 

      In Honor Of               In Memory Of
Name:
Occasion:
Mail to Name: 
Address:
City: 
State:  Zip: 
              ===========================
From:
Address:
City: 
State:  Zip: 

Please charge (amount):  $ (minimum of $15 per card)

Select Credit Card Type:    

American
Express

....

Visa

 .... MasterCard

Credit Card Account number:

Security Code (from back of card):    

This credit card expires:      

Card Holder Information:
Name
Address
City StateZip
Telephone
E-mail
Comments

By submitting this Credit Card information electronically, I authorize the Society of St. Andrew to charge my credit card account listed above the amount I have indicated.


CLICK ONCE -- BE PATIENT

Close Window