LaPaneitere_log

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!

PLEASE NOTE: We cannot guarantee a delivery date nor are we responsible for lost gift certificates in the mail. We also do not have any tracking # to provide for first class mail. You may also pick up the gift certifcate from the restaurant.
 

* Indicates Required Field

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

From:

 
Mail to:  
* Name:
* Address:
City:
State:
Zip:
Greetings or Comments:
 

I acknowledge and agree to the following:

We cannot guarantee a delivery date nor are we responsible for lost gift certificates in the mail. We also do not have any tracking # to provide for first class mail. You may also pick up the gift certifcate from the restaurant.

 

Press one time and wait for form to process.
 


LA PANETIÈRE 530 Milton Ave Rye, NY 10580 Tel: 914-967-8140