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Gift Certificate

A Gift Certificate for Tillie's Restaurant makes the perfect gift for your
Pittsburgh area friends, relatives, business associates
& anybody on your gift-giving list!

A sample copy of Tillie's Restaurant's Gift Certificate, the perfect choice for any occasion!


Perfect for birthdays, anniversaries, graduations, promotions,
contests, holidays, thank yous or any occasion.
To order a gift certificate from Tillie's Restaurant, fill out the form below and submit. Your information will be taken by a secure server, so that all your details, including credit card number, is encrypted and can not be intercepted by a third party.
Information about person ordering the gift certificate:

Your Name:

Street Address:

City: State: ZIP:

Phone Number (Including Area Code):

For faster service and an email confirmation of your order, please provide your email address:

Amount of Gift Certificate: (Minimum $25, $5 increments, please)

Bill to Which Credit Card (click the button to the left of the appropriate card):
Visa Accepted
VISA
Master Card accepted
MasterCard
Discovery Card Accepted
Discover
American Express Accepted
American Express
Diners Club International Accepted
Diners Club

Credit Card Number:

Credit Card Expiration:

Gift From (if left blank, your name above will be used):
Example: The Smiths, R Company, Inc., Mom & Dad

Gift To (will appear on the gift certificate):

Example: Bob Smith, Bob and Mary, The Smiths

Recipient's Mailing Address:

Name:

Address:

City: State: ZIP:


Additional Comments or Shipping Address if Different from Above:
You may use this form to ask questions before purchasing (in which case, there is no need to fill out your credit card information).
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