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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, shiatsu 60 min $75   90 min $100 HOT STONE &/OR HAWAIIAN MASSAGE 60 min $85   90 min $110 ADD A SALT SCRUB 30 min $35 to hot stone/hawaiian massage ONLY   GENERAL POST P & H $2 allow 3 working days   EXPRESS POST P & 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 IS HOME   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) *: