Select a gift certificate and customize it in the form.
When you're ready, head to your cart to "check out." (Credit card information not needed, input only your address. All designs included with membership except completely custom gift certificate.)
Within 5 - 7 business days, you'll receive an email with your image file in jpeg format. Once you have received your files you can make up to 3 revisions any more and there will be a small fee applied.
You can then upload your image to an online printer or talk to a local printer in your area.