Gift Certificate
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Cap's Place, Inc. d/b/a

CAP'S PLACE ISLAND RESTAURANT

SEAFOOD SPECIALTIES SINCE THE 1920's

Dock Located ‑2765 N.E. 28th Court

Lighthouse Point, Florida 33064

Mailing Address‑ 2261 E. Sample Road, Suite 2 Lighthouse Point, FL. 33064 Restaurant (954) 941‑0418  Office (954) 941‑2348
Fax (954) 941‑2346

www.capsplace.com       capsPlaceEmail@AOL.com

 
 

 

 

                     CREDIT CARD AUTHORIZATION FOR GIFT CERTIFICATE
 
FOR YOUR CONVENIENCE, WE ACCEPT THE FOLLOWING CREDIT CARDS FOR PURCHASES. 
IF YOU WISH TO AUTHORIZE A PURCHASE ON A CREDIT CARD,  PLEASE PRINT THIS FORM AND HANDWRITE OR TYPE INFORMATION.   THIS IS NOT A ON SCREEN FILL IN FORM -PLEASE PRINT OUT FORM ON REGULAR PRINTER, FILL IN THE BLANKS SEPARATELY.  THEN FAX,  EMAIL or MAIL COMPLETED FORM.

CREDIT CARD TYPE:                VISA                MASTERCARD               AMEX

 NAME OF PERSON SUBMITTING REQUEST:__________________________________________

 ADDRESS:_______________________________________________________________________

 PHONE NO:  (____) __________  FAX NO: (____) _______________  EMAIL _____________________________

 CREDIT CARD NUMBER  ______________________   EXPIRATION DATE (MM/YY): ____________

 NAME EXACTLY AS IT APPEARS ON CARD _________________________________________

 IMPORTANT!!! WE MUST HAVE A READABLE, LEGIBLE COPY OF YOUR CREDIT CARD.
IMPRINT OR PHOTOCOPY YOUR ACTUAL CREDIT CARD IN THE SPACE PROVIDED BELOW.

 

 

 

PLEASE CHARGE MY CREDIT CARD, LISTED ABOVE, FOR THE AMOUNT OF  $_________________
FOR THE PURCHASE OF ________________________________________________________________

            _____________________________                                        ________________
                AUTHORIZED SIGNATURE                                                        DATE

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