Order gift cards for friends or family, a special treat for any occasion during the year!
Print and complete this page and fax this request to: (949) 261 5279

Value Requested:___________________________________________

Recipient's Name:___________________________________________

Recipient's Address:_________________________________________

________________________________________________________

Recipient's Phone:___________________________________________

Buyer's Name:_______________________________________________

Buyer's Phone:______________________________________________

Buyer's Address:_________________________________________

________________________________________________________

Credit Card Type: Visa Master Card American Express

Credit Card #:_______________________________________

Credit Card Expiration:_______________________________________

Gift Cards are valid at all Pascal locations.

Message to Recipient:_________________________________________

__________________________________________________________

Notes:_____________________________________________________

__________________________________________________________