* Please fill out the form below to purchase the One-Day Basic or/and Advanced Sushi Class Gift Certificate.
*Within a business day, the CSA staff will contact you via email for the confirmation of your payment, and the Gift Certificate will be directly mailed out to the recipients at the provided address.
Your Name
*
(First and Last Name)
Ms.
Miss.
Mrs.
Mr.
Dr.
Chef
None
Select one
Your Phone Number*
Your Email Address*
Your Mailing Address*
City, State, Zip*
Choice of The Class Type*
Basic ONLY ($80.00)
Advanced ONLY ($85.00)
Basic AND Advanced (special discount price $155.00)
Evening Basic Class ($85.00)
Please select one
* Upon the receipt of the certificate, recipients can register for the available class date of their choice, by calling us or from our website.
Name(s) of The Recipient(s)
(Please write the name(s) of he recipient(s) below.)
1 - First and Last Name*
Ms.
Miss.
Mrs.
Mr.
Dr.
Chef
None
Select one
1 - Mailing Address*
2 - First and Last Name
Ms.
Miss.
Mrs.
Mr.
Dr.
Chef
None
Select one
2 - Mailing Address
3 - First and Last Name
Ms.
Miss.
Mrs.
Mr.
Dr.
Chef
None
Select one
3 - Mailing Address
4 - First and Last Name
Ms.
Miss.
Mrs.
Mr.
Dr.
Chef
None
Select one
4 - Mailing Address
5 - First and Last Name
Ms.
Miss.
Mrs.
Mr.
Dr.
Chef
None
Select one
5 - Mailing Address
Please mail the certificate to MY mailing address.
Please mail the certificate to the RECIPIENT'S address.
If you have any special mailing instructions, please provide in the textfiled named "special instruction and message request" at the bottom of this form.
Payment Method*
Visa
Master
American Express
Credit Card No*.
Expiration Date*
Card Holder's Name*
Ms.
Miss.
Mrs.
Mr.
Dr.
Chef
None
Select one
Total Amount*
Special Instruction and Message Request
