Gift certificate order form

What is your name?* This field is required.

First Name

Last Name

Phone number* This field is required.This will be used to reach you in case you can't be reached by email.

E-mail* This field is required.This will be used for invoicing, and to arrange delivery of the gift certificate.

Who is the super lucky person are you buying the gift certificate for?* This field is required.If buying for more than one person complete details for the first person here. You will be given the option of adding certificates for more than one person below.

How would you like their name and your name to appear on the gift certificate?* This field is required.

What type of gift certificate would you like?Select as many sessions as you would like to make a combo pack

Foot $75

Hand $75

Face $75

Some extra love $95

Headache and sinus relief $80

Hot stone reflexology $80

Ultimate renewal $120

Reflexology Lymphatic drainage $75

Reiki $80

R&R $105

Indian head massage $90

Recovery bliss $95

I'm not sureNot sure what session they would like, that's okay, you choose the amount, and they decide how to spend it. Please type the dollar amount you would like to purchase?

How would you like the gift certificate?* This field is required.

In print

Electronic

If you would like the gift certificate emailed directly to the recipient add their email address here.

example@example.com

Buying for more than one person?* This field is required.

Yes

Who is the super lucky person are you buying the gift certificate for?* This field is required.

How would you like their name and your name to appear on the gift certificate?* This field is required.