Your Name *

First Name

Last Name

Your Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How would you like the gift certificate to be sent? *

Please let me know how, and to whom you want the gift certificate sent:

Please send a physical gift certificate in the mail to me.

Please send an electronic copy of the gift certificate via email to me.

Please send a physical gift certificate in the mail to the recipient.

Please send an electronic copy of the gift certificate via email to the recipient.

Recipients Name *

First Name

Last Name

Payment Method *

Please let me know how you would like to pay. There is more information about these options on the Apothecary page of the website. Instructions and/or a link will be sent to you for payment. Thank you!

Zelle Electronic Payment - No fees for either of us! There are no processing fees for using Zelle, which means I will get the full amount that you pay. This is my preferred method to receive payment from you..

Credit/Debit Card & Electronic Wallet - I will pay a processing fee, which means that I do not receive the full amount of your purchase. I am still happy to recevie payment from you in this way. Just letting you know!

Check In The Mail - This is a slower method, but one I am happy to receive. Your items will not be shipped until payment is received and cashed.