Fill in the information below; we need to determine which voting precinct the gift receiver is in. Then fill in the billing information.
[contact-form][contact-field label=’First and Last Name of Gift Receiver’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’/][contact-field label=’Gift Receiver Street Address’ type=’text’ required=’1’/][contact-field label=’City, State Zip’ type=’text’ required=’1’/][contact-field label=’Comments?’ type=’textarea’/][/contact-form]
[bt_one_time_form]