| Gift
Certificates
Please print the form below, fill it out, and then
call Karen Gilman at 607.582.7555 before you fax the
form. Dano's accepts Visa and Mastercard.
Credit Card Information:
Type of credit card (circle one) :
_____Visa______Mastercard
Credit Card Number : __________________________________________________________
Expiration Date : _____________________________________________________________
Amount : $ _________________
(Recommended amounts might be $30 for lunch
and $50 for dinner)
Cardholder's
Name : ___________________________________________________________
Signature : __________________________________________________________________
Telephone
Number : ( _______ ) ___________________________________
ext.: ________
Gift
Particulars
Certificate Date : ____________________________________________________________
To
: _______________________________________________________________________
From
: _____________________________________________________________________
Message
: __________________________________________________________________
Mail
Certificate to : __________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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