order forms

Gift Certificate Order Form

* Please Note Required Fields

Person Requesting Gift Card
*Full Name:
*Telephone:
*Email:

Gift Card Recipient
*Recipient's Name:
Telephone:
*Recipient's Address:
*City:
*State:
*Zip Code:

Gift Card Information
Gift Card Amount:
 You may wish to review our menu to decide the amount of the gift card.
Select a Value or
Other Amount:

Your Message:

Payment Information

We will contact you within 24-48 hours to request your credit card information, and complete your order.

Do you authorize Mie N Yu to charge your credit card? Yes

Pick-Up / Delivery

 Please select an option for pick-up or delivery:
Pick-up - Mie N Yu Restaurant,
                    3125 M St., N.W.
                    Washington, DC 20007
Mailed to presenter by Mie N Yu
Mailed to recipient by Mie N Yu
Alternate Arrangements - Call 202-333-6122

Additional Comments?