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Purchaser Information
First Name
Last Name
Email
Phone Number
Gift Card Amount
Where is this Gift Card for?
The White Sands
The Sea Spa
Credit Card Number
Expiration Date
CVV
Card Holder's Billing Address
Town / City
State
Zip Code
Recipient Information
Are we sending this Gift Card to the above information?
Yes
No, please send to the below recipient
First Name
Last Name
Recipients Address
Town / City
State
Zip Code
Terms and 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.
Submit
