Store at Harbour Dance Centre in Vancouver, B.C. Jazz Ballet Hip Hop Modern Classes

Harbour Dance Centre Gift Certificates
Give the gift of dance. We will send a card with a gift certificate for you, or you can select to receive the gift certificate to present it directly. It is your choice.

HARBOUR DANCE STORE ORDER FORM
STEP 1: select your products Please choose a specific value for your gift certificate. A yearly membership is required to use the punch cards listed below.
Enter specific gift certificate dollar amount:	$
HARBOUR DANCE RATES:
Yearly Membership		Price Each
		$30
1.5 Hour Drop-In		Price Each
Non-Member		$17
Member		$15
1.5 Hour Punch Cards		Price Each
10 X ($14.50 each)		$145
20 X ($14.00 each)		$280
1.0 Hour Drop-In		Price Each
Non-Member		$13
Member		$12
1.0 Hour Punch Cards		Price Each
10 X ($10.90 each)		$109
20 X ($10.00 each)		$200

STEP 2: please provide billing information Please provide your contact and billing information:
Name:		Email:
Address:		Phone:
City:
State/Prov:		Zip/Postal Code
Country:

STEP 3: Gift Recipient To whom should the gift be made out to? :
Name:		Email:
Address:		Phone:
City:
State/Prov:		Zip/Postal Code
Country:
	Comments to add with the gift card. Please also let us know if this is a surprise gift or any special delivery instructions.
	Please send this gift card:

STEP 4: CREDIT CARD & PAYMENT INFORMATION MASTERCARD, AMERICAN EXPRESS AND VISA
Your order is not complete until we have received payment in full.
Please select your payment option below:

Payment Option:	Card Number:	Harbour Dance Centre 927 Granville Street, Vancouver, B.C. V6Z 1L3 Phone: (604) 684-9542 Fax: (604) 684-3253
	Expiry:
	Name on Card:

We will confirm the charge details by email before charging your card.

Any additional comments or questions: