Laguiole : Gift Certificate

The gift certificate allow you to give money to a friend
and let him choose the exact gift he wants
It is very usefull when you don't want to wait for delivery
and want to give a gift immediately.

About You :
First Name :
Last Name :
Email address :
Phone :

About the recipient :
First Name :
Last Name :
Email address :
Phone :

Choose the value your want to give :
US$

Choose the delivery method :

by email (no cost)

OR

by postal mail (US$ 25 for express delivery)

If you choose by Postal Mail, we will take US$25 from
the Value you give for the express delivery of the gift certificate.
Fill in the following form ONLY for a postal mail gift certificate :
(let it blank for an email gift certificate)

First name :
Last name :
Email :
Address :
City :
Zip Code :
State :
Country :
Phone :

Paiement by Credit Card
Credit Card Number :
Period of Validity :
Type of Card :	Visa Mastercard/Eurocard
	American Express

(You will receive a confirmation by email)