Sweet Retreat Gift Certificate Order Form

           Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
E-mail

            Please provide the following ordering information:

QTY	DESCRIPTION                                         PRICE
	TOTAL QUANTITY     SUBTOTAL
	Discounts for order of 5 or more certificates    (Discount only applies if order is for 5 or more of the same gift certificate.)
	SUBTOTAL
	Please include tax of 6.5% to all orders
	TOTAL PRICE FOR ORDER

	BILLING
	If you do not wish to provide your credit card information via email, please complete your order without it and we will call you to obtain your credit card information.
Credit Card #
Expiration Date
Account Name

	SHIPPING
Name of recipient
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Message