10793 Tierrasanta Blvd., Suite A
San Diego, CA 92124
Office: (858) 573-1505 Fax: (858) 573-9835
Gift Certificate Purchase Form
What type of gift certificate would you like?
Half-Day Spa .....$140
Swedish Massage (50 mins) .....$75
Deep Tissue Massage (50 mins) .....$95
European Facial .....$70
$150 toward any spa service
$100 toward any spa service
$50 toward any spa service
Other
Where would you like us to send the gift certificate?
Name:
Address:
City: State: Zip:
Would you like to include a message on the card?
Billing Information
Name as it appears on credit card:
Billing Address:
Phone Number:
Visa Mastercard Credit Card Number:
Expiration Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Email address:
Confirm email address:
