Gift Certificate Request

Presented To: (first & last name)

From: (this name will appear on gift certificate)

Personal Message: (Happy Birthday, Merry Christmas, etc)

Contact's Full Name:

Contact's Phone #:

Contact's E-mail:

Gift Certificate Dollar Amount:

Recipient Full Name & Address:

Mailing Options:*Fed Ex Rates may vary depending on zip code

Standard Postal Mail - no charge $15 2nd Business Day* $20 Next Business Afternoon*

Validation

Please type the alphanumeric sequence in the image above:

A Tahquitz Creek representative will contact you within 24 hours to discuss payment options.  If you have not been contacted within 24 hours of submitting this form, please call 760-328-1005 for assistance.  All gift certificates expire one year from date of purchase.