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:
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.
YOU MUST TYPE "I AGREE" IN THE BOX TO THE RIGHT:  

Press one time and wait for form to process.
 


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