Order the 5Star PerfectGiftCard


Print and Mail application below to:


5Star Card Services
PO BOX 35430
COLORADO SPRINGS CO 80935


Perfrect Giftcard


Step 1: Choose the Amount You Want to Give

$25    $50    $75    $100    $250    $500   

See the accompanying Frequently Asked Questions for shipping and handling charges associated with the PerfectGiftCard.


Step 2: Provide Purchaser Information *

Name (First, MI, Last)
 Purchase Method:
VISA ®    MasterCard ®    Check or Money Order
Mailing Address
 Apt No.
 Credit Card Number (If payment is by credit card)
City
State
Zip
Phone No
-		 Card Exp MM/YY
/
* If paying by credit card, this information must agree with the credit card's billing information.

Step 3: Provide Recipient Information **

Name (First, MI, Last)
 Mailing Address
 Apt No.
City
State
Zip
Phone No
-
** Address needs to be provided only if you want the PerfectGiftcard mailed directly to recipient.

Step 4: Complete Your Purchase

Confirm PerfectGiftCard Mailing Instructions
Send to Me Send to Recipient 		Do You Want express Mail Delivery?
No Yes($14.95 charge)
Signature
X

By signing, you affirm that you have read the accompanying Frequently Asked Questions, which describe the features of and costs associated with the PerfectGiftCard. If paying by credit card, you authorize 5Star Bank to charge your credit card number for the dollar amount of the PerfectGiftCard selected above, plus shipping and handling charges. If paying by check/money order, you have enclosed a check/money order for the dollar amount for the PerfectGiftCard selected above plus shipping and handling charges. You understand that the PerfectGiftCard cannot be returned or exchanged.