Newsday

(631) 758-7640

Reservations

Home

655-08 Montauk Hway Patchogue New York

-  CHACHAMA  -

Gift Certificates

Contact Us

Reviews

Newsday 2009

Directions

Photos | Food

Photos | Social

Dinner

Latin Night

  certificates  

  gift  

Gift Certificate Request Form


1.  Gift Certificate Information (to be printed on the gift certificate)

Amount: $

To (i.e., recipient names):

Message (100 characters max):


From (i.e., gift certificate donor names):


2.  Payment Information (Mastercard | Visa only)

Credit Card Number:

Expiration Date:

Name On Card:


3.  Mailing Information

Name:

Address:


4.  Contact Information (in case of any problems)

Contact name:

Contact email:

Contact telephone: