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David Boutin & Michelle Fuselier

If you would like to contribute to David and Michelle's Honeymoon Registry, please complete the form below or send your contribution directly to Travel Machine, attention: Stephanie Roberts

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and meaningful for them!
Purchaser Information:
First Name: Last Name:
Street Address: City:
State: Zip Code:
Email Address: Phone:
Payment Information:
Card Number: Exp. Date:
Amount Auth.: By typing my name
in the box below,
I authorize The Travel
Machine Group
to process my payment
for the amount
indicated (Required
for Processing
your payment).
Name: Today's Date:
Agent's Name
(if applicable):
Type of Certificate:
Honeymoon Gift Certificate
Agency Instructions:
Hold in Office for Pick Up

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