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7 Blyth St Brunswick 3056
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voucher order form


Looking for the perfect gift for someone special?
Want to give something unique, something memorable?


We all need a massage, but how often do we make the time?!
A massage gift voucher is the ideal way to show your appreciation,
show how much you really care. Gift vouchers make a great present
for all those special occasions such as Christmas, birthdays,
weddings, anniversaries, pregnancy and post-pregnancy and just to
say 'thank you'.

please fill out this form to order your voucher

YOUR DETAILS

All fields * are mandatory for ordering a Gift Voucher.
First name*:
Last name*
Home phone no.*
Work phone no.*
Mobile phone no.*
Email*
Address*
City*
State*
Postcode*


VOUCHER RECIPIENT

First name*:
Last name*
Home phone no.*
Work phone no.*
Mobile phone no.*
Email*
Address*
City*
State*
Postcode*


WHAT NAMES WOULD YOU LIKE TO APPEAR ON THE VOUCHER?

(nicknames can be used here)
TO*
FROM*


WHICH TREATMENT WOULD YOU LIKE TO GIVE?

MASSAGE
relaxation, remedial, deep tissue, pregnancy, oriental, shiatsu60 min $75
 90 min $100
HOT STONE &/OR HAWAIIAN MASSAGE60 min $85
 90 min $110
ADD A SALT SCRUB30 min $35
to hot stone/hawaiian massage ONLY 
GENERAL POSTP & H $2
allow 3 working days 
EXPRESS POSTP & H $5
allow 24 hrs 
PLEASE SEND THIS VOUCHER DIRECTLY TO RECIPIENT
PLEASE SEND THIS VOUCHER TO ME


YOUR TOTAL COMES TO




UPON RECEIPT OF YOUR ORDER YOU WILL BE CONTACTED BY
PHONE TO ARRANGE & CONFIRM PAYMENT. WE ACCEPT VISA &
MASTERCARD FOR PHONE ORDERS, PAYPAL ONLINE OR DROP IN
TO THE CLINIC TO PICK UP & PAY DIRECTLY.
THE BEST NUMBER TO CALL ON ISHOME
 MOBILE
 WORK

I'D LIKE TO PAY BY
CREDIT CARD (VISA/MASTERCARD) OVER THE PHONE
PAYPAL ONLINE
PICK UP & PAY AT THE CLINIC


Please copy the letters shown here into the box below. (case sensitive) *:




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