Rice Lake Gift Certificate Order Form

Please fill in information of person giving gift certificate(s)
Name
First Last
Business Name
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
*
- I will pick the gift certificate(s) up at your office
- I would like the gift certificate(s) mailed to me
Additional Information
$5 Gift Certificate
Price: $5.00 Quantity:
$10 Gift Certificate
Price: $10.00 Quantity:
$20 Gift Certificate
Price: $20.00 Quantity:
$25 Gift Certificate
Price: $25.00 Quantity:
Total
$0.00
Paying
- Credit Card
- Invoice
- Cash When Picked Up
Credit Card Payment
Do you want to cover the payment transaction fees?
- Yes, I would like to cover the payment transaction fees
Credit Card Payment Transaction Fees
Price: $0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Subtotal
$0.00
Thank you!
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Support your Local Business! Order a Rice Lake Chamber Gift Certificate. Accepted by most businesses in Rice Lake.

Fill in the information for your gift certificate purchase and stop and pick them up at the Chamber office or let us know if you would like them mailed to you.