Gift Certificates

Please print this form and fax it to us at 416-915-0193 or e-mail the information to info@juiceforlife.com . We'll fax it back to you or e-mail you with a confirmation and total.

Gift certificates must be presented to your server before paying and redeemed within one year of indicated date. No cash backs. Gift certificates may be redeemed at any one of our locations. Add $6.00 to the amount of gift certificate for postage.

Name:

Address:

City:

Province/State:

Postal Code:

Phone:

Fax:

Email:

Amount of Gift Certificate:

Type of Credit card:

Credit Card #:

Expiry Date:

Name on Credit Card:

Signature:

Name of recipient:

Recipient's mailing Address (if different from above):

Comments: