GIFT CERTIFICATE FORM
 
 
Note that this form is not a request for information, but a request to purchase a Gift Certificate.
 
You will receive the Gift Certificate by email within 24 hours after receiving your request.
 
The delivery time of the Gift Certificate can be faster than 24 hours if you request it. Please write it in the comment field at the bottom of the form.
 
 
 
FULL NAME (buyer)
 
 
 
 
ADRESS (buyer)    
 
 
 
 
CITY (buyer)
 
 
 
 
PROVINCE (buyer)
 
 
 
 
ZIP CODE (buyer)
 
 
 
 
PHONE (buyer)
 
 
 
 
EMAIL (buyer)
 
 
 
 
How much for the Gift Certificate ?
  
 
 
 
If you want another amount, what is this amount ?
 
 
What is the name of the person to register on the Gift Certificate ?
 
 
 
 
Do you have questions or comments ?