Gift Certificate Form

Again we would like to thank you for choosing us for your gift giving needs. Please fill out the following form, with as much detail as possible. Once you submit the form, typically your gift will ship out on the following day, unless you specify one of the priority delivery options.

Gift Cetificate

GIFT DETAILS - Choose one of the following two options:

1st option – Choose a dollar amount

Dollar Amount

OR - 2nd option – Pick a treatment & quantity

Quantity

Specific Service

If you purchased a Service(s) and you would like to add a gratuity, please enter the dollar amount here

Gratuity Amount

If you have a Discount or Promotional Code, enter it here (discounts will be taken prior to charging your credit card):

Discount/Promo Code

TO, FROM & PERSONAL MESSAGE:

List who the Gift Certificate is "To" and "From" (you do not have to use formal names)

To Recipient

From Sender

From

Customize your gift with a personal message (optional):

Gift Certificate Personal Message

MAIL GIFT CERTIFICATE TO (ALSO SHIPPING INSTRUCTIONS):

Where should we mail the Gift Certificate?

First and Last

*First and Last name

Street Address

*Street Address

City *

*City

State

*State

Postal/Zip Code

*Postal/Zip Code

Country *Required

*Country

Choose Shipping and Handling Fees (order must be placed by 10am Pacific Time in order to ship the same day)

Shipping & Handling

PURCHASER'S CREDIT CARD & BILLING ADDRESS INFO:

Enter Your Credit Card Information
As it appears on your credit card.

First Name *

*First Name

Last Name *

*Last Name

Card Type *

*Type

Credit Card Number *

*Credit Card Number

Expiration Month *

*Expiration Month

Expiration Year *

*Expiration Year

CVV *

*CVV

Your Billing Information
Please enter your name, along with the billing address and phone number that matches your credit card.

Full Name *

*Full Name

Street Address *

*Street Address

City *

*City

State

*State

Postal/Zip Code

*Postal/Zip Code

Cell Phone Number *

*Phone Number

Email Address *

*Email Address

Company (optional)

REFERRAL INFO & TERMS:

Tell Us How You Heard About Us
(This helps us keep our prices as low as possible).

Referred By

Referred By (Please Select One)

If referred by whom

If referred by a friend/family member, their name

Terms & Conditions
Gift Certificates are non-refundable. Charges to your credit card may not be reversed once an order is placed.

*I Agree to the Terms & Conditions

Humans: Check box below

Code

*Check box above

*Indicates a required field