No. You will receive an email notification. You can then forward that email to the recipient, or there is an option to print out a nice pdf and give to them in-person.
During checkout, you have the option to pay the remaining balance with credit card, paypal, or another gift card.
Your order will be processed and the remaining balance will stay on the card so you can use it again. Simply use the same code.
Fifth Element Gift Cards do not expire.
Available Here: http://fifthelementonline.com/products/gift-card