Gift Certificates
Please submit the form below to request a gift certificate.
*Email is REQUIRED to process this form.
Your Name:
Name of Recipiant:
Gift Certificate Amount:
Your Email Address*:
Your Preferred Phone Number:
Please mail to this address:
Please do not mail, I will pick gift certificate at the restaurant.
Please call Urs at 434-847-2526 with your credit card information.
Any denomination is available.