Holiday House - GIFT CERTIFICATE ORDER FORM

GIFT CERTIFICATE ORDER FORM

PLEASE NOTE: The form below is intended to be a convenience for you in ordering your gift certificate(s) ... COMPLETE THE FORM BELOW, PRINT the form on YOUR PRINTER and remit to:

HOLIDAY HOUSE RESTAURANT
ATTN: Dept. GC
P.O. Box 1506
DeLand, FL 32721-1506

Please Include $10 For EACH Gift Certificate Ordered

~ PLEASE ALLOW 2 WEEKS FOR DELIVERY ~

Please Send Me
(Quantity) GIFT CERTIFICATES @ $10 each

SHIP TO

NAME:

STREET ADDRESS:
ADDRESS LINE 2 (If Necessary):

CITY:

STATE:

ZIP:

YOUR E-MAIL ADDRESS:

PAYMENT ENCLOSED:
Check Money Order Credit Card

CREDIT CARD INFO:
VISA MasterCard Discover

Cardholder's Name
Card #
Expires:

**SHIP TO**
NAME:
STREET ADDRESS: ADDRESS LINE 2 (If Necessary):
CITY:
STATE:
ZIP:
YOUR E-MAIL ADDRESS:
PAYMENT ENCLOSED:	Check Money Order Credit Card
CREDIT CARD INFO:	VISA MasterCard Discover
	Cardholder's Name Card # Expires: