This is the gift certificate order form. Please fill out all the required fields. If you do not receive you gift certificate in 7-10 days, usually sooner, please do let us know. Thank you!


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* Name:
* Address:
* City:
* State:
* Zip:
* Telephone:
* Email:
* Credit Card:
* Credit Card Number:
* Expiration Date:
* Name on Credit Card:
* Denomination:
* Quantity:
This is a gift for:


Mail to:  
* Name:
* Address:
Greetings or Comments:
(Max length 75 characters) We don't have room on the gift certificates!

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Harbor Lights 82 Seaview Ave. Norwalk, CT 06855 Tel: 203-866-3664