Gift Certificate Request


Name of Person receiving Gift:
Name or Organization giving Gift:
Gift Certificate Type:
If Other - Please provide special occasion:
Amount on Gift Certificate:
  30 Minutes / $40
  60 Minutes / $75
  90 Minutes / $100
   
  Current methods of payment is cash, check, and Paypal (credit card transaction). 
   
   
Person purchasing Gift Certificate:
Address to send Invoice:
City, State, Zip..
Telephone Number:
   
Email:
   
Special Instructions (*):
  (*) - Special instructions:  how is the gift certificate to be provided?  Do we send it to the person purchasing the gift, send it to the person receiving the gift?  Provide address if we need to send it to the person receiving the gift.
   
Date needed?
   
   
Current methods of payment is Cash, Check, Paypal, and Credit Card.   Once I receive the information we will figure out the best method of payment for you.