GIFT CERTIFICATE ORDER FORM

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GIFT CERTIFICATE ORDER FORM Powered By Docstoc
					                                                          for quick and seamless gift certificate ordering, please fill out all of the
                                                          fields. you can fax, mail, or scan and email this form to Silk road. if you have
                                                          any questions about filling out this form, or if you would like to place the
                                                          order by phone, please call us monday-friday from 10am-6pm pSt.

gift certificate order form                               heaven & earth spa packages:
1624 Government St victoria Bc v8W 1Z3                    Select 3 or more 1hr spa services per recipient and receive 10% off.
Silkroad@Silkroadtea.com                                  package discount is per recipient, and services must be experienced in one visit.
t: 250 388 6815 f: 250 382 0001                           please use the check boxes provided to indicate if the 3 or more services form a
                                                          heaven & earth spa package, or if you would like each spa service as a separate
                                                          gift certificate (to be redeemed in different sessions—not eligible for discount).



date                                                                    paGe         of

purchaSer (firSt name, laSt name)

BillinG addreSS                                                         city & prov/State

city & prov/State                                                       country & pc/Zip

country & pc/Zip                                                        charGe to            c viSa        c mc          c amex          c jcB

tel                                                                     card numBer

cell                                                                    expiry date

email                                                                   card holder
c pleaSe mail the receipt(S) to purchaSer ($1 fee is charged for this—please provide full mailing address if different than billing
address above)




                              gift certificate 1       (to purchaSe more, fill out paGe 2 of form)

What kind of Gift certificate? (check one and enter information)

c dollar value           $ ________________              c SinGle Spa Service: _________________________________________

c Spa packaGe:* ________________________________________
*you can choose packages from our spa menu, or create your own. if you are creating your own spa package, please list the names of all of
the services in the package:


recipient’S firSt name:                                                 recipient’S phone numBer (with area code):


recipient’S laSt name:                                                  iS the Gift certificate from more than one perSon?
                                                                        c yeS c no
hoW Should We prepare the Gift certificate?                (choose one option)

c     prepare the Gift certificate(S) for the recipientS to pick up at the Store
c     prepare the Gift certificate(S) for purchaSer to pick up at the Store
c     mail Gift certificate to purchaSer (at billing address above—a $1 fee is charged for this)
c     mail Gift certificate to the recipient (a $1 fee is charged for this—please provide full mailing address in space below)
                                                                          gift certificate order form
                                                                          1624 Government St victoria Bc v8W 1Z3
                                                                          Silkroad@Silkroadtea.com t: 250 388 6815                      f: 250 382 0001

this is a supplementary page for making more than one gift certificate purchase. in order to complete the purchase, you will also
need to fill out page one of the gift certificate Order form, which includees billing information. please fill out all of the fields.

 date                                                                      paGe          of

 purchaSer (firSt name, laSt name)



                                                              gift certificate 2
 What kind of Gift certificate? (check one and enter information)

 c dollar value           $ ________________                c SinGle Spa Service: _________________________________________

 c Spa packaGe:* ________________________________________
 *you can choose packages from our spa menu, or create your own. if you are creating your own spa package, please list the names of all of
 the services in the package:


 recipient’S firSt name:                                                    recipient’S phone numBer (with area code):


 recipient’S laSt name:                                                     iS the Gift certificate from more than one perSon?
                                                                            c yeS c no
 hoW Should We prepare the Gift certificate?                   (choose one option)

 c   prepare the Gift certificate(S) for the recipientS to pick up at the Store
 c   prepare the Gift certificate(S) for purchaSer to pick up at the Store
 c   mail Gift certificate to purchaSer (at billing address above—a $1 fee is charged for this)
 c   mail Gift certificate to the recipient (a $1 fee is charged for this—please provide full mailing address in space below)




                                                              gift certificate 3
 What kind of Gift certificate? (check one and enter information)

 c dollar value           $ ________________                c SinGle Spa Service: _________________________________________

 c Spa packaGe:* ________________________________________
 *you can choose packages from our spa menu, or create your own. if you are creating your own spa package, please list the names of all of
 the services in the package:


 recipient’S firSt name:                                                    recipient’S phone numBer (with area code):


 recipient’S laSt name:                                                     iS the Gift certificate from more than one perSon?
                                                                            c yeS c no
 hoW Should We prepare the Gift certificate?                   (choose one option)

 c   prepare the Gift certificate(S) for the recipientS to pick up at the Store
 c   prepare the Gift certificate(S) for purchaSer to pick up at the Store
 c   mail Gift certificate to purchaSer (at billing address above—a $1 fee is charged for this)
 c   mail Gift certificate to the recipient (a $1 fee is charged for this—please provide full mailing address in space below)

				
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posted:4/3/2010
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