To Redeem your Gift Certificate:

Before placing your order, Simply fill out the form below. Once you fill out the form, you can either place your order Online or by Phone. You will not be Charged until we contact you either by email or Phone with your corrected amount. At that time we will send you a "Revised Billing Statement" with the corrected amount and your card will be charged at that time.

 **If you received 2 or more Gift Certificates you must fill out this form for each Certificate.

**Note: Gift Certificates must be Mailed Back to Gourmet South within 2 weeks after purchase. If we do not recieve the Certificate you will be billed back the full amount of the Gift Certificate. You will receive a Stamped, Self addressed envelope when your order arrives, please mail back Gift Certificate in envelope.

* Required fields
Name *
E-mail Address *
Address *
City / Town *
Zip Code *
Gift Certificate Amount $$ *	$25 $50 $100 $150 $200 $300 $500 $1000 5% 10% 15% 20% 25% OTHER
Gift Certificate (other) ie Product, $$, %
Gift Certificate Received from: *	Relative Friend Co-worker Gourmet South Other
Name (gift certificate received from) *
Address (Gift Certificate received from) if available
Phone Number (Gift Certificate Received from) *
Email Address (Gift Certificate Received from) If Gift is from us, Type GS.COM *
	I understand I must Mail the Gift Certificate back to Gourmet South in the Stamped, Self Addressed envelope enclosed in my food order within 2 weeks of purchase or I will be billed back the full amount of the Certificate.

I have read and agree to the Privacy Policy *

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**Please Make sure to mail back your Certificates: See Below**

**Note: Gift Certificates must be Mailed Back to Gourmet South within 2 weeks after purchase. If we do not receive the Certificate you will be billed back the full amount of the Gift Certificate. You will receive a Stamped, Self addressed envelope when your order arrives, please mail back Gift Certificate in envelope.

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