To Receive Your GREEN'S Gift Certificate:

Fill out the form below and email it to GREEN'S OR print this form and fax to the number below:
Fax to the attention of Suzie Riga at
803-779-2903

Gift Bottle
You will receive a phone call confirming receipt of your gift order. At this time you can share your credit card information with us.



Date:

Certificate (Gift certificate is to read as follows):

TO:
FROM:
MESSAGE:



YOUR EMAIL ADDRESS:

MAIL TO:
Purchaser Recipient Other (please specify)

Please supply shipping address:
Address 1:
Address 2:
City: State:Zip:

Billling Information:

To authorize Green's Discount Beverages to charge your credit card, you will receive a confirmation phone call for your gift order. At this time you can share your credit card number in a secure manner.

Amount of Certificate:

Cardholder Billing Address:

Address 1:
Address 2:
City: State:Zip:

Phone (w/area code):- work

Phone (w/area code):- home

Additional Instructions / Requests:


If you prefer to call...
In Georgia dial:
Green's, 2614 Buford Hwy NE, Atlanta, GA 30324- 404.321.-6232
Green's, 737 Ponce De Leon, Atlanta, GA 30306 - 404.872.1109

In South Carolina dial:
Green's in Columbia: 400 Assembly St, Columbia, SC 29201 - 803.799.9499
Green's in Piney Grove: 4012 Fernandina Road, Columbia, SC 29212 - 803-744-0570
Green's in Greenville: 445 Congaree Road, Greenville, SC 29607 - 864.297.6353
Green's in Myrtle Beach: 2850 N. Kings Hwy, Myrtle Beach, SC 29577 - 843.448.1623


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