Gift Card Order Form – Gyoza Bar

– Aburi Gift Cards can be purchased at any of our locations, (Gyoza Bar, Miku, Minami, Tora) and are valid at all locations except HANA.
– Gift cards can be purchased for any denomination up to a maximum of 250.00 CAD. For any amount greater than $250.00, multiple cards can be purchased.
– The entire amount does not be used at once and they do not have an expiration date.
– Please note that this order form is for the physical gift card. If you would like to receive an e-gift card, please go back to the previous page and click the virtual e-gift card button.

*Required

**Your order is not yet complete. Please review your information before clicking submit.**

Order Request

Location* :Gyoza Bar

Amount x Quantity1* :$x12345678910

Amount x Quantity2 :$x12345678910

Amount x Quantity3 :$x12345678910

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Subtotal :

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Delivery Options

Pick UpCourier(Courier to be arranged by purchaser)Regular Mail

Pick Up Date* :

*Please call the restaurant if you would like to pick it up today.

Mailing Address

**Please make sure to provide the correct mailig address. An incorrect mailing address could result in your giftcard(s) being lost.**

Mailing Address 1* :

Mailing Address 2 :

City* :

State/Province/Region* :

Postal Code* :

Country* :AfghanistanAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrazil DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCyprusCzech RepublicKoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropean CommunityFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNiueNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of KosovoRepublic of MoldovaRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoTome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTajikistanThailandThe former Yugoslav Republic of MacedoniaThe former The former-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited Republic of TanzaniaUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaViet NamYemenZambiaZimbabwe

Recipient Name* :

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Credit Card Information

VISA Master American Express Discover JCB

Card Number* : - - -

Expiry Date* :Month: 　/　Year:

Card Holder Name* :

CVV / Security Code* :What is CVV?

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Billing Information

Same as mailing
address? :Yes

Purchaser Name* :

Billing Address 1* :

Billing Address 2 :

City* :

State/Province/Region :

Postal Code* :

Country* :AfghanistanAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrazil DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCyprusCzech RepublicKoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropean CommunityFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNiueNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of KosovoRepublic of MoldovaRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoTome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTajikistanThailandThe former Yugoslav Republic of MacedoniaThe former The former-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited Republic of TanzaniaUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaViet NamYemenZambiaZimbabwe

Email* :

Phone Number* : - -

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Additional comments/instructions for the restaurant regarding your order:

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Note:

• Please note we are not responsible for lost or stolen cards.

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By clicking this box you have read and agreed to our Privacy Policy and Terms and Conditions as well as to confirm the information you have provided is correct. Final billing will be made on the day and payment will not be processed in advance unless a cancellation occurs.
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Please only click the submit button once and do not click the back button or refresh the page until the order confirmation page appears.