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NAME GIFTOR ONLY ACCOUNT OWNER: STUDENT BENEFICIARY: PAYMENT PLAN: STREET ADDRESS If you are making a GIFT purchase and are not the Account Owner on this GET account, please check the GIFT box to the right and provide your contact information in the boxes to the left.

PAYMENT GIFT

ACCOUNT NUMBER:

ADDITIONAL LUMP SUM UNITS PURCHASE

$

CITY / STATE / ZIP CODE

CUSTOM MONTHLY PLAN PAYMENT

$

EMAIL ADDRESS & PHONE NUMBER (S)

Please write the GET Account Number on your check and send to: GET, PO BOX 84824, SEATTLE WA 98124-6124

TOTAL AMOUNT PAID

$

COUPON
NAME GIFTOR ONLY ACCOUNT OWNER: STUDENT BENEFICIARY: PAYMENT PLAN: STREET ADDRESS If you are making a GIFT purchase and are not the Account Owner on this GET account, please check the GIFT box to the right and provide your contact information in the boxes to the left.

PAYMENT GIFT

ACCOUNT NUMBER:

ADDITIONAL LUMP SUM UNITS PURCHASE

$

CITY / STATE / ZIP CODE

CUSTOM MONTHLY PLAN PAYMENT

$

EMAIL ADDRESS & PHONE NUMBER (S)

Please write the GET Account Number on your check and send to: GET, PO BOX 84824, SEATTLE WA 98124-6124

TOTAL AMOUNT PAID

$

COUPON
NAME GIFTOR ONLY ACCOUNT OWNER: STUDENT BENEFICIARY: PAYMENT PLAN: STREET ADDRESS If you are making a GIFT purchase and are not the Account Owner on this GET account, please check the GIFT box to the right and provide your contact information in the boxes to the left.

PAYMENT GIFT

ACCOUNT NUMBER:

ADDITIONAL LUMP SUM UNITS PURCHASE

$

CITY / STATE / ZIP CODE

CUSTOM MONTHLY PLAN PAYMENT

$

EMAIL ADDRESS & PHONE NUMBER (S)

Please write the GET Account Number on your check and send to: GET, PO BOX 84824, SEATTLE WA 98124-6124

TOTAL AMOUNT PAID

$


				
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