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©2013 All Rights Reserved • Chix on the Beach • 701 Atlantic Avenue, Virginia Beach, Virginia • 757.428.2449

By completing this form, I authorize Chix on the Beach to charge the gift card(s) amount(s) below to the credit card provided herein. I certify that all information given is accurate and complete. Chix will process your gift card order within 1-2 business days (Monday-Friday). Once processed, we will mail your gift card(s) via USPS to the Recipient Address (Shipping Times Vary Based on USPS).  We estimate you should receive your gift card(s) in 5-7 business days.

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