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To purchase a gift certificate complete this form and select from the gift certificate options below. You must pay with Mastercard, Visa, American Express or Discover through our secure Paypal link. You do not need a paypal account. We will call you within 24 hours upon receiving payment to confirm your order.
Who is this gift certificate going to:
Who is this gift certificate from:
Where would you like us to mail your gift certificate?
Mail to myself, the purchaser
Mail to the recipient
Do you want a brochure enclosed with your gift certificate?
Yes
No
Service wanted:
Massage
Pregnancy Massage
Indian Head Massage
Facial
PCA Chemical Peel
Waxing
Reiki
Colon Hydrotherapy
Nutritional Consultation
Nutritional Supplements
Ultimate Combo: 1 hr facial and 1 hr massage $110
Ultimate Detox: 1 hr. Raindrop and 1 colonic $125
Mini Combo: 1/2 hr massage and 1/2 hr facial $70
I do not want to specify a particular service
Date the reciever or myself need the gift certificate IN HAND by:
What time can we call you on the next business day to verfiy and confirm this order?
Hours
01
02
03
04
05
06
07
08
09
10
11
12
:
Minutes
00
15
30
45
AM
PM
Best phone number to reach you:
Questions or comments:
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$25.00
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$50.00
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$60.00
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$75.00
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$100.00
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$110.00
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$150.00
Gift Certificate
Upon receipt of payment, we will mail you your gift certificate within 24 hours to the address requested.
Price:
$200.00
Origins of Wellness
|
angela8howard@wi.rr.com
|
5632 Parking St.
Greendale
,
WI
,
53129
USA
|
Phone
4148589494