Gift Certificate
Fax: (403) 261-8795
Phone: (403) 261-7670

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Contact Name
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Company Name
 
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Phone number
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Fax number
 
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Email address
 
CREDIT CARD AUTHORIZATION

This is to authorize River Café to charge to my credit card account the amount of

$___________ for the purchase of _______________________________________ .

I would like to charge it to the following credit card:

VISA     MASTERCARD    AMEX    DINERS

NAME (as it appears on the card): _____________________________________

CREDIT CARD #: ________________________________________

EXPIRY DATE: _____________________

SIGNATURE of Card Holder: ___________________________________________

___ I would like the receipt:FAXEDMAILED

___ I would like to be added to the River Café mailing list for upcoming Special Events.

Special Instructions

___ I will pick up the Gift Certificate at River Café
___ Please mail the Gift Certificate to the following address:(Please allow 7 to 10 days for delivery)




*A 10% fee will apply to all cancelled and reissued gift certificates
Thank you for choosing River Café!