Gift Certificate Purchase Form

Want to give the gift of sea kayaking? Please use this form to enter your information. You will be directed to a payment page upon submission of this form.

Date of Purchase

Amount of Gift Card

Purchaser Name and Contact Information:

First Name

Last Name

Physical Address

City

State/Province

Zip/Postal Code

Country

Email Address

Confirm Email Address

Phone Number

Name and Contact Information of Person Receiving the Gift Card:

First Name

Last Name

Physical Address

City

State/Province

Zip/Postal Code

Country

Phone Number

Gift Certificate Delivery Information:

Would like for us to mail a paper copy of the gift certificate to either you or the recipient? If yes, please type the mailing address below.
yesno

Certificate Mailing Address

Would like for us to email an electronic copy of the gift certificate to YOU? If yes, please type the email address below.
yesno

Purchaser Electronic Copy Email Address

Would like for us to email an electronic copy of the gift certificate to the RECIPIENT? If yes, please type the email address below.
yesno

Recipient Electronic Copy Email Address

Do you want to include a personal message on your gift certificate? Is so, please, include it below.
yesno

Personal Message

How did you learn about us?

Do you wish to receive emails from us that contain information about our programs? We will not distribute your email address to any other business or individual without your consent.
yes, pleaseno, thanks

Please enter the security code
captcha

*After you submit your information, you will be redirected to a page that will allow you to enter the gift certificate amount and make a secured payment.

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