Chamber Gift Certificate Order Form
Denominations of $5 increments are available, for example: $10, $15, $20, etc.
There is a service fee of $1 for each Gift Certificate ordered.
Please print off this page and fax to (815) 942-0117 / e-mail it to info@grundychamber.com
or mail it to Grundy County Chamber, 909 Liberty Street, Morris, IL 60450.
A confirmation will be sent if e-mail address is supplied.
Please provide the following ordering information:
QTY DESCRIPTION Gift Certificates at $ Gift Certificates at $ Gift Certificates at $ Service Fee $1 for ea
Certificate Ordered at $
TOTAL DUE $
Payment Information
Check (made payable to Grundy County Chamber) Visa Mastercard Discover **
Card Number**
Expiration Date V Code**
Name (as it appears on the card) **
Billing Address **
City: State: Zip: **
E-mail (to send confirmation) **
Telephone Number **
I will pick up Gift Certificate(s) Please mail to address below **
Mailing Address
City: State: Zip:
** Required Information