R E S T A U R A N T
Gift Certificate Order Form

To order today simply print this page, complete this form and either fax it to Fax: 202.338.1421
mail Gift Certificate Order Form to,
Bistro Français 3124-28 M Street Washington, D.C. 20007 (no cash, please)
or :Call: 202.338.3830

Provider

Credit card number Exp.

Full name as it appears on card Last name

E mail @

Address and phone number

Provider's signature
* if submitting via the web, please place your initials in the box above

Amount $

Number of certificates Subtotal $

Overnight service fee $ 16.00

TOTAL CHARGED TO CARD $

Gift certificate recipient

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GIFT CERTIFICATE COMMENTS

© Copyright 2008 Bistro Français Washington DC. All Rights Reserved.2008 by Bistro Français.,Ltd.