Buyer:

Name:

Address:

City: State: Zip:

Phone #: Email:

Recipient:

Name:

Address:

City: State: Zip:

Phone #: Email:

Payment Options (Choose ONE)

I will pay with a personal check and understand that the gift certificate will not be sent until my check clears.

I will send a money order or bank check and understand the gift certificate will be sent upon receipt.

I will call with a debit/credit card number for immediate release of the gift certificate.

Delivery Options (Choose ONE)

Email gift certificate to BUYER.

Email gift certificate to RECIPIENT.

Mail gift certificate to BUYER.

Mail gift certificate to RECIPIENT.

Buyer will pick up at shop.

Recipient will pick up at shop.