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JP Fishermens & Speakeasy Tavern

fax: 508-892-

Gift Certificate Fax Order Form
 
 

Name: ________________________________________________

Telephone #: ___________________________________________

 VISA  MasterCard  American Express

Card Number: ______________________________________

Expiration Date: ________         Amount of Gift Certificate: $_____________


Where would you like the Gift Certificate mailed?

Name: ________________________________________________

Address: ________________________________________________

              ________________________________________________
 

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