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PURE ONLINE SHOP
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Email
*
Your email
Please let us know how much you would like your gift card for?
$50
$75
$100
$150
Specify amount below:
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Specific GC amount:
Your answer
Would you like it gift wrapped?
Yes
No
Would you like to add PURE swag to the GC?
PURE Touque $22
PURE Hat $35
PURE Shaker Bottle $8
PURE Tie Dye Hoody $85
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Phone Number
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Your answer
Billing Address (please include street, unit number, city, province/state, and postal code/zip)
*
Your answer
Credit Card Number
*
Your answer
Expiration Date
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Your answer
CVV Security Code (3 digit code on back of card)
*
Your answer
Authorization
I understand that by submitting this form, I authorize PURE Gym & Juicery (1081310 BC LTd.) to charge my credit card for my order.
We will call you when ready for pick up.
Thank you for supporting our small business, we appreciate you!
Thank you!
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