COST ESTIMATE: REI GIFT CARDS AND E-GIFT CARDS

1. * Required Information
2. First Name:*
3. Middle Initial:
4. Last Name:*
5. Address 1:*
6. Address 2:
7. Company or C/O:*
8. City:*
9. State:* --Choose State or Province-- Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Micronesia Federated States of Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territory Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

   (For USA and Canadian Customers)

10. Country:* Albania Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador El Salvador Equatorial Guinea Eritrea Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Georgia Germany Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See Honduras Hong Kong Hungary Iceland Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, South Kuwait Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mayotte Mexico Monaco Mongolia Montserrat Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niue Norfolk Island Norway Oman Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Qatar Reunion Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Seychelles Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Vanuatu Venezuela Virgin Islands, British Wallis and Futuna Western Saraha Yemen Zaire (Democratic Republic of the Congo) Zambia Zimbabwe
11. Zip (Postal) Code:*
12. Daytime Phone:*
13. Night Phone:
14. E-mail Address:*
15. REI does not sell or rent email addresses; see our Privacy Policy

1. Gift Card Amount:
   Quantity: Electronic or Traditional:

1. $10 E-card Traditional

1. $25 E-card Traditional

1. $50 E-card Traditional

1. $100 E-card Traditional

1. Other E-card Traditional

($5 - $500)

1. Gift Card Message:

1. Are the gift cards to be used for a promotion?
   Yes No
2. If yes, what type of promotion (contest, sweepstakes, etc)?
   
3. Do you plan to use the REI logo in your promotion?
   Yes No