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Enter here to go back to our website: www.SerenitySpaNY.com

 

                      Gift Certificate Request Form
                                Redeemer's Information (Gift Card issued TO)  :        

 
First Name:
 * required

Phone Number : (ex: 2125554444)
Last Name:
 * required
Redeemer's E-mail Address:
(required ONLY if you 'd like to send an announcement e-mail)

                                Purchaser's  ( YOU) Information   :         

 
First Name:
 * required
Phone Number : (ex: 2125554444)
 * required
Last Name:
 * required
Email address:
 * required

                                Gift Card    :    

 
Write your desired Spa Treatment(s), etc :

Enter here to view our website Spa Treatments on a separate window: http://www.serenityspany.com/spa-services-nyc.html

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Select a Mother's Day Package:
Or select from the following options:
 
Amounth :
Or, Select a Spa Treatment:

                                Delivery Information  :       

 
Mail Gift Card to:
Full Address:

                                Special Code  :       

 
       Enter special code for discounts:

                                Credit Card Information  :       

 
Name as it appears on card:
 * required
Expiration Date: Month
example: 08   for August
 * required
Year:
example: 2010  
 * required
 
Credit Card Type:
Credit Card Number:
 * required

Zip Code (where Credit
Card gets billed):
 * required

CVV Number:
 * required
 
CVV Number: For Visa, Mastercard and Discover cards, the card code is the last 3 digit number located on the back of your card
on or above your signature line.  For an American Express card,  it is the 4 digits on the FRONT above the end of your card number.

 
Be sure that your information is secure and safe with us.
I Authorize to Charge my Credit Card. I am aware that all Gift Cards are Non-Refundable and Good for a Year from the Day of Purchase
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