Mail-In Gift Certificate Form

Please print this form, fill it in completely, and include it with your check or money order for the amount of the gift certificate (payable to Mark Blakemore).  Once I have your order you should receive your gift certificate by return mail within 3-5 days.

Mail to: 

Mark Blakemore
PGA Professional
P.O. Box 2361
Antioch, CA 94531-2361

GIFT CERTIFICATE INFORMATION:

Recipient's Name __________________________________________

Purchaser's Name __________________________________________

Mail to: (Name) ____________________________________________

Address __________________________________________________

City ________________________  State _____  Zip ______________

Purchaser's Phone Number (______)_________________________

Recipient's Phone Number (______)_________________________

Gift Certificate Amount  (check one or more of the lines below)

____ Half hour private lesson ($80 - includes books)
____ One hour private lesson ($105 - includes books)
____ Series of six half hour private lessons ($280 - includes books)
____ Series of six one hour private lessons ($405 - includes books)
____ Twosome one hour lesson ($120 - includes books)
____ Twosome series of 6 one hour lessons ($480 - includes books)
____ 9-hole playing lesson ($210 - includes books)
____ 2 day golf school ($600 - includes books) - 8 total hours
____ 3 day private golf school ($1000 - includes books) - 15 total hours

____ Other ($________)

"Other" can be any amount to be applied toward instruction or books

Any comments you'd like to include (continue on back, if necessary):