School of Continuing Education Gift Certificates Order Form


School of Continuing Education Gift Certificates

Order Options:
	Fill out and submit this form online
	Print and mail order form to:
		Non-credit Registration University of Wisconsin-Milwaukee Drawer No. 491 Milwaukee, WI 53293-0491

	Call Toll-free 800-222-3623 or Direct 414-227-3200
	Print and fax order form to: Toll-free 1-800-399-4896 or Direct 414-227-3146


	For multiple orders, please use multiple forms.

	Your Name
	Business Title/Position
	Organization Name
	Address
	City
	State or Province
	ZIP or Postal Code
	Daytime Phone Number
	Keycode	(Please transfer the keycode that appears to the left of your name on the catalog mailing panel.)

	Deliver To: (if different from above)
	Name
	Organization Name
	Address
	City
	State
	ZIP Code

	Method of Payment:
	Certificate Amount:	$ ($20 minimum)
	Method of payment:	Check (Please make payable to UW-Milwaukee. Check must accompany order form. Mail only) MasterCard Visa American Express Credit Card Number Expiration Date Cardholder's Name

	To	(Recipient's name as you wish it to appear on the gift certificate)
	From	(Your name as you wish it to appear on the gift certificate)
	Personalized Message	(20 words maximum)