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Beach Wheelchair Service (C.R.A.B.)
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Purchaser Information
First Name
Last Name
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Phone Number
Gift Card Amount
Where is this Gift Card for?
The White Sands
The Sea Spa
Credit Card Number
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Recipient Information
Are we sending this Gift Card to the above information?
Yes
No, please send to the below recipient
First Name
Last Name
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State
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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.
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