Gift Certificate PAYMENT AND INFORMATION FORM

Your Name:

Your Email Address:

Your Phone #:

Who is the Gift Certificate For?

Name #1:

Name #2:

Name #3:

Name #4:

Who is the Gift Certificate From?

Name #1:

Name #2:

Name #3:

Name #4:

Name #5:

Name #6:

What would you like to purchase? Select Couples Cooking Class Adult Cooking Class for 1 Adult Cooking Class for 2 Kids Cooking Class Teen Cooking Class A Specific Amount Private Chef at Home Other

  If "Other" describe:

Is it for a Special Occasion? Select Birthday Gift Anniversary Gift Wedding Gift Engagement Gift Christmas Gift Retirement Gift Other

  If "Other" describe:

Is this for a Specific Location? Select Mount Pleasant Studio Vaughan Studio Either Location

For a Specific Cooking Class - List: Location, Class Name and Date

Any other information we may need?

PAYMENT INFORMATION

Amount of purchase (Includes 13% HST) Select $223.74 - Couples Cooking Class $111.87 - Adult Cooking Class for 1 $223.74 - Adult Cooking Class for 2 $335.61 - Adult Cooking Class for 3 $447.48 - Adult Cooking Class for 4 $96.05 - Kids Cooking Class $96.05 - Teen Cooking Class A Specific Amount Private Chef at Home Other

If other please fill in the amount:

Form of Payment ? Select Credit Card Gift Certificate Deal Coupon Interac e-transfer

Name on Credit Card
Address
City
Postal Code
email address
Phone #

**Please Note Debit Cards and Prepaid Credit Cards must be processed
in person**

Credit Card #
Credit Card Expiry (mm/yy)
Security Code (VISA & MC on back; AmEx - 4 digits on front)
Amount to be charged including HST

.