Maine Whitewater - Gift Certificate Order Form

Maine Whitewater; The Ultimate in Rafting, Camping, Lodging, & Maine Adventure Vacations.

Gift Certificate Form

* Indicates Required Field

Gift Certificates are delivered by e-mail or postal mail and can be used towards any of the services we offer. They begin at at the $25.00 level, and can be purchased in any desired amount. Gift Certificates DO NOT EXPIRE and the recipient can select the date(s) for trips and services they're applied to.

Buy purchasing a Gift Certificate, both you AND your benefactor will be entered into our special drawing for a FREE rafting trip!

NOTE: This form is processed on an SSL secure server with 128-bit encryption.

* Indicates Required Field

*Donor's (gift-giver's) First Name:

*Donor's Last Name:

*Donor's Email Address:

*Donor's Street Address:

*Donor's City:

*Donor's State / Province:

*Donor's Postal / Zip Code:

*Donor's Country:

*Cell Phone:

*Other Phone:

*Gift Certificate Amount:

*Method of Delivery:

*Recipients First Name:

*Recipients Last Name:

*Recipients Email Address:

*Recipients Street Address:

*Recipients City:

*Recipients State / Province:

*Recipients Zip / Postal Code:

Online Gift Certificate Purchase.

*Full Name on Credit Card:

*Credit Card Type:

*Card Number:

*Card Expiration Date: mm-yyyy

*Security Code (back of card):

*Total Gifted Amount (US Dollars):

NOTE: We will contact you to verify all information provided, prior to sending your gift certificate. Thank You!

Maine Whitewater, Inc.
Physical Address: Gadabout Gaddis Airport, 36 Main St, Bingham, Maine, USA, 04920
Mailing Address: P.O. Box 633 Bingham, Maine, USA, 04920
800-345-6246 • Local 207-672-4814 • Fax 207-672-4176
email: info@mainewhitewater.com