Would you like to give a Bodee’s Gift Card to a family member,
friend or co-worker?

If so, please print and complete this form and fax it to us at
(805) 646-9536. Your order will be confirmed via telephone
and available for pick-up or mailed promptly (USPS - First Class).

 

		I would like __________ (quantity) gift certificates in the amount of $___________.00
		I will pick-up my order on ________/________/________ or
		Please mail my order to (one mailing address per form)
		NAME _______________________________________________________________
		ADDRESS ____________________________________________________________
		CITY ________________________________  STATE ________  ZIP ______________
		I hereby authorize Bodee’s Restaurant to charge my credit card $___________.00 on the following date ________/________/________.
		CREDIT CARD TYPE ________ MC   ________ VISA   ________ AX
		NAME ON CARD ________________________________________________________
		ACCOUNT NUMBER ______________________________________________________
		EXPIRATION DATE ________/________/________
		BILLING ADDRESS ______________________________________________________
		CITY ________________________________  STATE ________  ZIP ______________
		PHONE NUMBER _______________________________________________________
		CARDHOLDER’S SIGNATURE _______________________________________________

3304 Maricopa Hwy., Ojai, CA 93023   Tel (805) 646-5300   Fax (805) 646-9536