Gift Certificates
<span class="text"><font color="#444444" class="text"> <form method="post" action="/mailercustom.html"> <input type="hidden" name="endurl" value="/siteElizabethMonge826/iframe.html?page=10" /> <input type="hidden" name="reqs" value="Sender Name,Sender Address,Sender City,Sender State,Sender Zip,Sender Phone,Dollar Amount,Send Gift To,Month of Arrival,Day of Arrival" /> <input type="hidden" name="themessage" value="Thank you for your gift certificate request. We will get back to you shortly" /><br /> <table cellspacing="0" cellpadding="8" align="center"> <tbody> <tr valign="middle" align="left"> <td> <p><strong>Please enter your information below:</strong></p> <table cellspacing="0" cellpadding="0"> <tbody> <tr valign="top" align="left"> <td valign="middle" align="right"> <p align="left">* Name:</p> </td> <td valign="middle"><input type="text" size="14" id="Sender Name" name="Sender Name" /></td> </tr> <tr valign="top" align="left"> <td valign="middle" align="right"> <p align="left">* Address:</p> </td> <td valign="middle"><input type="text" size="14" id="Sender Address" name="Sender Address" /></td> </tr> <tr valign="top" align="left"> <td valign="middle" align="right"> <p align="left">* City:</p> </td> <td valign="middle"><input type="text" size="14" id="Sender City" name="Sender City" /></td> </tr> <tr valign="top" align="left"> <td valign="middle" align="right"> <p align="left">* State:</p> </td> <td valign="middle"><input type="text" size="14" id="Sender State" name="Sender State" /></td> </tr> <tr valign="top" align="left"> <td valign="middle" align="right"> <p align="left">* Zip:</p> </td> <td valign="middle"><input type="text" size="14" id="Sender Zip" name="Sender Zip" /></td> </tr> <tr valign="top" align="left"> <td valign="middle" align="right"> <p align="left">* Phone:</p> </td> <td valign="middle"><input type="text" size="14" id="Sender Phone" name="Sender Phone" /></td> </tr> <tr valign="top" align="left"> <td valign="middle" align="right"> <p align="left">* Email:</p> </td> <td valign="middle"><input type="text" size="14" id="Email Address" name="Email Address" /></td> </tr> </tbody> </table> <p align="center" class="footer">* Required Fields</p> </td> <td> <p><br /> </p> <p>* Dollar Amt: <input type="text" size="5" id="Dollar Amount" name="Dollar Amount" /> <br /> <br /> * Send Gift To: <select id="Send Gift To" name="Send Gift To"> <option selected="" value="My Home">My Home</option> <option value="Recipient's Home">Recipient's Home</option> </select> <br /> <br /> * Must arrive by:<br /> <input type="text" maxlength="2" size="2" id="Month of Arrival" name="Month of Arrival" /> / <input type="text" maxlength="2" size="2" id="Day of Arrival" name="Day of Arrival" /> / <input type="text" value="2008" maxlength="4" size="5" id="Year of Arrival" name="Year of Arrival" /></p> <p align="center">Please call 561-274-3999 with<br /> payment information<br /> OR<br /> Send check or money order to:<br /> <strong>Studio Elizabeth<br /> 777 E Atlantic Ave, B-2<br /> Delray Beach, Fl, 33483<br /> </strong></p> </td> <td> <table cellspacing="0" cellpadding="0"> <tbody> <tr valign="middle" align="left"> <td colspan="2"> <p><strong>Recipient's Information:</strong></p> </td> </tr> <tr valign="middle" align="left"> <td width="70"> <p align="left">Name:</p> </td> <td width="140"><input type="text" size="14" id="Recipient Name" name="Recipient Name" /></td> </tr> <tr valign="middle" align="left"> <td width="70"> <p align="left">Address:</p> </td> <td width="140"><input type="text" size="14" id="Recipient Address" name="Recipient Address" /></td> </tr> <tr valign="middle" align="left"> <td width="70"> <p align="left">City:</p> </td> <td width="140"><input type="text" size="14" id="Recipient City" name="Recipient City" /></td> </tr> <tr valign="middle" align="left"> <td width="70"> <p align="left">State:</p> </td> <td width="140"><input type="text" size="14" id="Recipient State" name="Recipient State" /></td> </tr> <tr valign="middle" align="left"> <td width="70"> <p align="left">Zip:</p> </td> <td width="140"><input type="text" size="14" id="Recipient Zip" name="Recipient Zip" /></td> </tr> </tbody> </table> <p>Additional instructions/comments:<br /> <textarea id="Additional Comments" wrap="PHYSICAL" rows="3" cols="20" name="Additional Comments"></textarea></p> </td> </tr> <tr valign="middle" align="center"> <td colspan="3"><br /> <input type="submit" value="Submit" name="submit" /></td> </tr> </tbody> </table> <p style="text-align: center;"><br /> <span style="font-size: xx-small;">Terms and conditions: Gift Certificates must be used during the 12 month period for which they are valid (as stated on each certificate). </span></p> </form></font></span><br>
Beyond images, the art of documenting life.. (All images by Elizabeth Monge)
