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Email:
 
CocoPalm Restaurant
1600 Fairplex Dr., Pomona, CA 91768-1237
Phone (909) 469-1965
Cocopalm Gift Cards may be purchased online in any amount over $25 using this secure order form. After we receive your order, we will process it the next business day and send your Gift Card out by regular mail.
If you need your gift sooner or prefer not to order online please call us at (909) 469-1965.
Amount:
($25 minimum)

PURCHASER'S INFORMATION:
Name:
Street Address:
City:
State/Zip:
Email Address:
Phone:

PURCHASER'S CREDIT CARD INFO:
Type of Card:
Visa  MasterCard
Card Number:
Name on Card:
Expiration Date:
(mm/yy)
Do you want us to
mail you a receipt?
Yes  No

If you would like the Gift Certificate mailed directly to the recipient, please provide the recipient's address information below:
Recipient's Name:
Street Address:
City:
State/Zip:
Note:


5th Street between Mission and San Carlos
Carmel, CA 93921
Phone: (831) 625-0501
Fax: (831) 625-9799
email: http://casanovarestaurant.com/mailto:info@casanovarestaurant.com

 
 
 
 
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