BARCLAY BUTERA GIFT CERTIFICATE SALES FORM Company Name:______________________________________________________________________________________________ Contact:_____________________________________________________________________________________________________ Address:____________________________________________________________________________________________________ City:_____________________________________State:_________________________Zip Code:____________________________ Email:_____________________________________________________________________________________________________ Phone:______________________________________________________________________________________________________ Number of Gift Certificates:_____________________________________________________________________________________ Amount of each Certificate:_____________________________________________________________________________________ Total Sales:_________________________________________________________________________________________________ Delivered to:________________________________________________________________________________________________ Date:_______________________________________________________________________________________________________
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