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White Sands Gift Card
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Your Name
*
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Amount of Gift Card
*
Please enter the total of charges.
Credit Card #
*
Please enter your credit card number.
Expiration Date
*
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CVV Code
*
Please enter the three-digit verification code from your card.
The 3-digit code on the back of your credit card.
Card Holders Billing Address
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Town
*
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State
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AL Alabama
AK Alaska
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AR Arkansas
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DE Delaware
DC District of Columbia
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KS Kansas
KY Kentucky
LA Louisiana
ME Maine
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Zip Code
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Phone
*
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Fax
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Email
*
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Information Above Is:
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Same as Shipping Address
Sending as a Gift
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If this is going to be a gift, please put the recipients name and address below.
Name
Please enter the guest's name.
Address
Please enter the billing address.
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Town
Please enter your city or town.
State
CHOOSE ONE
AL Alabama
AK Alaska
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FL Florida
GA Georgia
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Please select the state.
Zip Code
*
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Terms & Conditions
*
I authorize The White Sands (aka 1106 Ocean Ave) to apply the charges of the above-amount to my credit card. I understand that submitting this form will constitute a binding agreement for full payment for the above-specified charges.
Please accept the terms and conditions.
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