Gift Certificates Order Form

Welcome to the online gift certificate purchasing system for Ambiance Salon & Day Spa

1. Change the quantity next to your desired gift certificate
2. Enter the ship to information
3. DO NOT enter the recipients email address in the ship to section.
4. Enter the bill to information if different from the ship to information
5. Continue to the next page

Entries with ship to and bill to information will appear on the gift
certificate as follows:

presented by: "bill to name"
presented to: "ship to name"

Entries with no bill to information will be left blank and mailed to the person appearing
in the ship to information.

Quantity	Price	Code	Description
	$25.00	I001	Twenty Five Dollars
	$50.00	I002	Fifty Dollars
	$75.00	I003	Seventy Five Dollars
	$100.00	I004	One Hundred Dollars
	$150.00	I005	One Hundred Fifty Dollars
	$200.00	I006	Two Hundred Dollars
	$250.00	I007	Two Hundred Fifty Dollars
	$300.00	I008	Three Hundred Dollars
	$340.00	I009	Ambiance Spa Day
	$275.00	I010	Mini Retreat Spa Day
	$190.00	I011	Ambiance Sampler
	$130.00	I012	Beauty Break
	$155.00	I013	Special 1 - Just for Mom
	$125.00	I0157	Special 2 - Beautiful You
	$195.00	I0158	Special 3 - Forever Young
	$115.00	I0159	Special 4 - Just Relax

Bold = Required

Italic = Optional

Ship To:

Bill To (If Different):

First Name:
Last Name:
Email Address:
Phone Number:
Fax Number:
Company:
Address:
City:
State/Province:
Other State/Province:
Zip/Postal Code:
Country:

First Name:
Last Name:
Email Address:
Phone Number:
Fax Number:
Company:
Address:
City:
State/Province:
Other State/Province:
Zip/Postal Code:
Country: