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                                                    R I S T O R A N T E

               i Ricchi

               GIFT CARD PURCHASE FORM

           Please complete the form below and fax to (202) 872-1220.

         Purchaser Information

           Full Name:  _____________________________________________

           Telephone: _____________________________________________

           Address: _______________________________________________

                           _______________________________________________

             Payment Method: r VISA r Mastercard r American Express

          Card Number: _________________________   Expires: __________

          Gift Card Amount(s): ______________________________________

         Delivery Information

          Full Name: ______________________________________________

         Address: ________________________________________________

                         ________________________________________________

         Notes: _________________________________________________

                           We will contact you by phone to confirm

                          your purchased gift card has been sent.

             I hereby authorize I Ricchi to charge my credit card as shown above for said purchase amount.

     _______________________________________________ _________________      

                   Cardholder Signature                                                           Date