Your Contact Information


First Name:
Last Name:
E-Mail:
Telephone:
Address:
City: Prov.:
Postal Code:    


Credit Card Information

Visa         Master Card         American Express

Name on Credit Card:


Card Number:


Security Code:


Card expiry date:

Your Gift Certificate

What value of gift certificate would you like?

Select a value... or Custom amount: $

Please supply the name and address of the person to whom the gift certificate will be sent. We can send it to you, or mail it directly to the person for whom it's intended.

First Name:
Last Name:
Telephone:
Address:
City: Prov.:
Postal Code:    

Would you like us to write a message on the certificate? If so, please fill out the message (up to 15 words):

We will bill your credit card for the value of the gift certificate which you have selected above. There is no charge for issuing or mailing the certificate.

If all of the above information is correct, please click Submit Form below. For your own records, you can print this form before sending it. You may also fill out this page, print it, and fax it to 519-622-2226.

Send us a message:


            



Food: continental cuisine, seasonal features, fresh fish, pastas, vegetarian friendly.

Features: premium beers on tap, wide scotch selection, extensive wine list.

Outside Dining on Southside Patio
Private room for up to fifty guests.

Open year round
Monday to Thursday - 11 am - 11 pm
Friday and Saturday - 11 am - Midnight
Sunday - 11 am - 10 pm

   

For more information please email us       

  Blackshop Restaurant - 595 Hespeler Road, Cambridge, Ontario N1R 6J3 - Tel (519) 621-4180 - Fax (519) 622-2226