Waterfront Wines Restaurant | test

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Your Name (Purchaser)*
First Last
Your phone number*
Your email address*
Who is the Gift card for?
First Last
Would you like to pick up your Gift Card or have it mailed?*
- Pick up at Waterfront Restaurant
- Send in mail
Pick up Time (Between 3PM - 10PM)*

: Hours

Minutes

AM/PM

Gives us an idea of when you would like to come in and pick up your gift card. For same day pickup please give us a call at 250-979-1222.
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
What would you like the gift card to say?
Gift Card amount*
- $50
- $100
- $150
- $200
- $250
- $500
Cards can be loaded to a max. of $250. Gift cards for any amount above $250 will be split onto multiple cards.
Total
$ 0.00 CAD
Comments:
Credit Card

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Waterfront Wines Restaurant

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