Who should we mail the gift certificate to? [ ] Purchaser [ ] Recipient

Address: _____________________________________________
_____________________________________________
_____________________________________________

Please print:
TO: Recipient Name(s) ___________________________________
___________________________________

FROM : ___________________________________
___________________________________

[ ] Leave purchaser name Blank [ ] Leave recipient name blank [ ] Leave both names blank

Package : Please select a package for the recipient (price chart listed on the bottom):
Lake Merritt Packages:
[ ] Marco Polo [ ] Casanova [ ] La Cortigiana [ ] Promessi Sposi

Number of Passengers : ____________ ****Gondola holds up to 6 people****

Total = $__________________

Please print this form, completely fill it out and mail with check or money order payable to: Gondola Servizio.
Or, Fax this form to : Gondola Servizio (510 ) 238-7199 along with your phone # and we will call you for your credit card # and to verify we received your request. If we do not call you, please call us, there may be a problem with the fax transmittal.

Gondola Servizio - (510) 663-6603
568 Bellevue Avenue
Oakland, CA 94610

Price Chart