Click Icon to pay. You need not have a PayPal account.	To Request a gift certificate For GIFT CERTIFICATES for the course please prepay the $69.00 to the left, then fill out this form. I will mail a gift certificate on the next business day. If you are prepaying for yourself, and don't need a gift certificate issued, just make the payment, do a regular registration on the "Registration & Deposits" page, and skip this form. Your First Name  * required Your Last Name  * required The name of the person receiving the gift as you wish it  appear on the actual certificate:  * required The person's name giving this gift as  it will appear on the certificate:  * required To whose attention should the gift certificate be mailed? The address to which the certificate should be mailed:  * required Apartment # of Suite #: City:  * required State:  * required ZIP:  * required Phone where I can reach you if I have questions: An e-mail address where you can be contacted  * required Add a sentiment to the gift certificate? ie, Happy Birthday, Merry Christmas, Thanks, Love