GIFT CERTIFICATES - GIFT CARDS
A VERY SPECIAL GIFT....
to give that will be remembered forever -
a dining experience at the DEPUY CANAL HOUSE RESTAURANT,
CHEFS ON FIRE or gifts from the THE NEW YORK STORE.
Please fill out the following application to have us send your gift:
Your Name:
Your Email:
Your Organization:
Your Mailing Address:
City:
State:
Zip Code:
Your Telephone#:
Your Fax#:
Indicate Dollar Amount:
Select Payment Option:
Master Card
Visa
American Express
Call Me For My CC#
Mail-In with Check
Mail-In with Money Order
Master Card
Your Credit Card#:
Exp. Date#:
Name on Card:
Gift Certificate/Card is for:
Depuy Canal House
Chefs on Fire
Amici Sushi
The New York Store
Send Gift Certificate/Card to:
My Address
My Company Address
Directly to Recipient
Gift Certificate/Card TO:
Gift Certificate/Card FROM:
Add Special Note on Gift Certificate:
Recipient's Name and Full Address:
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