
| Gift receiver's information: To (Gift receiver): Mr. (First Name) (Last Name) Ms. (First Name) (Last Name) Mail the gift certificate to Gift receiver's address as following: |
| Gift certificate purchaser's information: From: Mr. (First Name) (Last Name) Ms. (First Name) (Last Name) Contact email: Contact phone number: Amount*(in Canadian $): $50, $100, $150, $200 or any amount more than $50 Gift for: Birthday, Anniversary, wedding, X'mas, Valentine, or any occasion as you indicate as: Mail the gift certificate to Gift certificate purchaser's Address as following: |

| Gift certificates are available with a minimum amount of $ 50, which include shipping via Canada Post Mail. |
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