Order a Gift Certificate from

J. Palen House

Please complete the following information to purchase a gift certificate.
If you would rather purchase a gift certificate by phone please call us at 216 664-0813

Purchaser/Billing Information:

 
Purchaser Full Name:   (required)
Purchaser Mailing Address:   (required)
City:   (required)
State/Province:   (required)
Zip/Postal Code:   (required)
Country: 
Home Phone:   (required)
Cell Phone: 
Email:   

Payment Method:

 
Credit Card Type:   (required)
Credit Card Number:   (required)
Expiration (month/year):   (required)
Exact Name on Card:   (required)
Credit Card CVV#:   (required)  what's this?

Gift Certificate Details:

 
This Gift is From:   (required)
For the amount of:  $ omit $ please  (required)
This Gift is To:   (required)

Delivery Method:

 
Mail Gift Certificate to Purchaser/Billing address above
Mail Gift Certificate to the address below: 
Ship To Address:   (required)
Attention (optional): 
Ship To City:   (required)
Ship To State/Province:   (required)
Ship To Zip/Postal Code:   (required)
Ship To Country:   (required)

Certificate Messages / Questions:

Please tell us if you would like a special message included with your Gift Certificate. Or, if you have questions or comments let us know here: 
 

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J. Palen House
216 664-0813
jpalenhouse@aol.com
www.jpalenhouse.com
 
Service Provided by Availability Online