Other amounts available in the stores or by phone at 678-481-0049.
(Does not qualify for additional 10%)

Certificates can be used at either concept.  Allow 5-7 business days for processing.
 
*Please complete the following required fields.
 
*Store Choice:

Fire of Brazil

   Jalapeno Charlie's

*Amount:

 

*First Name:

 
*Last Name:  
*Address:  
*City:  
*State:  
*Zip:  
*Day Phone:  
*Evening Phone:  
*Email Address  
*Type of Card
(VISA, AMEX, MC)		  
*Printed Name:
As it appears on card 		 
*Card Number  
*Exp Date:   (example  06/2008)
*Enter your 3 or 4 digit CVV2/CVC2/CID   What is this?
   

Do you wish this gift certificate to be sent to someone other than the name and address above? If so, please add their information here. Otherwise leave blank.
Name
Address:
City
State
Zip
 

 

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Please check your information above.  We are not responsible for incorrect information or incorrect addresses.  You will not be contacted unless a problem occurs during processing.