Amélie's Gift Card Request Form
Amélie's Gift Cards can be purchased and are redeemable at all 6 Amélie's locations. Please complete the form below to request an Amélie's Gift Card be mailed.
Email address *
Your Name? *
In case we need to reach out regarding your request.
Your answer
Recipients Name & Mailing Address *
Please provide the Name of person receiving gift card, and the address you would like the gift card mailed. Please be sure to include a salutation (requested in next question)
Your answer
Salutation on the Card *
(ie. Happy Birthday from Aunt Sue)
Your answer
How many Gift Cards would you like to purchase? *
Your answer
Requested Gift Card(s) Amount ($) *
Your answer
Method of Payment *
(We do not accept Check or Paypal. We apologize for any inconvenience)
Credit/Debit Card Number *
Your answer
Expiration Date *
Your answer
Name on Credit Card? *
Your answer
Please use the space below to provide any additional comments.
Your answer
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