Gift Certificate Purchase

BUYER'S PERSONAL INFORMATION (Billing Name/Address)
* Buyer/Sender Billing Name:
* Billing Address:
* Billing City:
* Billing State:
* Postal Code:
* Billing Country:
* Billing Phone #:
*Buyer's e-mail Address:
Gift Certificate Mailing Information (If different from above) Would you like us to send the Gift Certificate via: E-Mail to Buyer/Sender Only E-Mail to Recipient Only E-Mail to BOTH Buyer/Sender and Recipient Send Gift Certificate via US Postal Mail (provide mailing address below)
For E-Mail Option
E-Mail Address of Recipient:

For USPS Postal Mail Option:
Mail Certificate To:
Address::
City:
State:
Postal Code:
Country:
We would be glad to customize this gift certificate for you. Please provide the information that you would like entered on the gift certificate:
*Certificate is a gift from:
*Certificate is being given to:
Occasion:
Special Message you'd like to include on the gift certificate:
Please include any other special instructions here (e.g. do not mail before certain date)
CREDIT CARD/PAYMENT INFORMATION Address Verification: We use address validation for all credit card orders. Your billing address above must match the address that your credit card statement is mailed to each month. We accept payment by Visa, MasterCard, Discover, cashier's check, money order and personal check. Orders paid via credit card ship within 24 hours. Orders paid with cashier's check or money order ship the same day payment is received. Please allow several days for personal check payments to clear prior to shipping. Checks / Money Orders must be received within 7 days of order and should include postage and tax where applicable. Checks/Money Orders should be made payable to 'Charm City Cards' .
If you wish to pay by check or money order, please choose appropriate method of payment and mail to:	CHARM CITY CARDS P.O. BOX 247 REISTERSTOWN, MD 21136-0247

*Method of Payment:
Cardholder's Name:
Card Number:
Expiration Date:
*Credit Card 3 digit Verification Number: (on back of your Visa or Master Card)

* ANY FIELD MARKED WITH AN ASTERISK IS A REQUIRED FIELD