Gift Certificate Request Form
The Process
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).
The Request Form
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 Name
Last Name
Sales Rep Email
example@example.com
Is this gift certificate going through a retailer for distribution or directly to the end consumer?
*
To a retailer
To another party or end consumer
Select if this is a specialty gift certificate:
Twisted X Work
The Reserve Collection
Black Star Boots
Not Applicable
Exclusions:
Boots & Exotics
Exotics
None
Gift Certificate Name:
As it will appear on Gift Certificate
Retailer Name
*
As it will appear on Gift Certificate
Contact Person
First Name
Last Name
Retailer Customer #
Contact Email
*
The person to receive the certificate via email.
Contact Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
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.
SUBMIT
Expiration Date:
/
Month
/
Day
Year
Date
Should be Empty: