Gift Certificate

Gift Certificate Request Form
- STEP 1:
  
  Fill out this form for the account or organization you would like to request a Gift Certificate for.
- STEP 2:
  
  Your submission will go to Sales for approval. You will receive an email notification once approved and the Gift Certificate will be automatically sent to the contact email address you provided on the form.
- STEP 3:
  
  The retailer or end consumer will follow the instructions on the gift certificate to redeem. This process is automated and once approved they will be issued an account credit (retailer) or sent their footwear (consumer).
- Note:
  
  Gift certificates are requested one at a time. There is an option post submission to request additional gift certificates for the same retailer/entity.
- Sales Rep*
  
  First NameLast Name
- Sales Rep Email*
  example@example.com
- To a retailerTo another party or end consumer
- Twisted X WorkThe Reserve CollectionBlack Star BootsNot Applicable
- Boots & ExoticsExoticsNone
- Gift Certificate Name:
  As it will appear on Gift Certificate
- Retailer Name*
  As it will appear on Gift Certificate
- Contact Person
  
  First NameLast Name
- Retailer Customer #
- Contact Email*
  The person to receive the certificate via email.
- Contact Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Reason for request:*
  This field is not a place to request additional Gift Certificates, there is an option post-submission option to request additional certificates.
- Expires One Year from Date of Issue
- Should be Empty:

Gift Certificate Request Form

STEP 1:

STEP 2:

STEP 3:

Note: