Gift Certificates

Share our beautiful tea room with loved ones

You may order gift certificates for friends, parents or special occasions by fax, email, or by mailing this form by regular mail.  Allow one week to receive your gift certificate(s).

Complete this form to order

Certificate Amount: 

How many do you wish to order?

How do you wish to pay?

Card Number:

Expiration Date:

Amount: $            

Signature (required if faxing or mailing): ______________________________________

Name:

Street Address:

City:

State, Zip code: ,

Phone Number:

Whose name do you want on the certificates?

Do you wish to mail to recipients? Yes No

Name: Amount: $

Address:

City: State: , Zip:

Name: Amount: $

Address:

City: State: , Zip:

Name: Amount: $

Address:

City: State: , Zip:

Name: Amount: $

Address:

City: State: , Zip:

Comments:

Please click on the method you wish to send your request now.  To fax or mail just print two copies and mail one to us.  Make sure everything is filled out correctly.

Fax to: 614-761-8995
or mail form to:
The Victorian Painted Lady, LLC
Joyce Whitaker, Owner
327 East Fifth Street, Marysville, Ohio 43040
Phone:  (937) 644-0009

Thank you in advance for ordering our gift certificates.

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