Please send to:
Al's Seafood Restaurant
6001 W. Mequon Road
Thiensville, WI 53092 YOUR NAME _________________________________
ADDRESS _________________________________
CITY ____________ STATE _____ ZIP _________
TELEPHONE _________________________________
SEND GIFT TO THE FOLLOWING PERSON
YOUR NAME _________________________________
ADDRESS _________________________________
CITY ____________ STATE _____ ZIP _________
TELEPHONE _________________________________
Al's Seafood Market
| Quantity | Item # | Description | Price | Total |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
( ) Check or Money Order
( ) Visa
( ) Mastercard
( ) Credit Card Number
Signature _________________________________
Date ____/____/______
|