Gift Certificate Order Form

This form is to be used for a gift certificate purchase of either a single treatment or a package deal. The prices listed are not a complete list, but some of our more common areas. Some areas cannot be priced and require an in office consultation by our staff for accurate pricing due to a normal hair pattern variance.

If the area you desire to purchase a gift certificate for is listed here, follow the chart for complete ordering information. If you choose to just purchase a set amount you can just total the purchase price and include a check, money order, or credit card information and we will send you a receipt with the gift certificate to the address as indicated on the order form. If you have any questions please do not hesitate to contact the office at any time. We do hold varied office hours including evenings and Saturdays but be sure to call ahead to see when we are in the office so we can be available to you. The package deal has a buy 5 get one free rate included in total package price. Most people require about 6 treatments.

Area of Treatment	Price per Treatment	6 Treatment Package	Quantity	Total
Lip	$ 50	$ 250
Chin	$ 50	$ 250
Lip and Chin	$ 75	$ 375
Underarms	$ 75	$ 375
Bikini Line	$ 100	$ 500
Eyebrows	$ 60	$ 300
Sides of Face	$ 50	$ 250
Ears / Nose	$ 25	$ 125
Full Legs	$ 400	$ 2,000
Upper or lower Legs	$ 250	$ 1,250
Gift Certificate for any area of Laser Hair Removal (just fill in amount)

These prices are all inclusive. No additional fees. Please give us the address you would like your receipt and gift certificate mailed to:

Name:________________________________
Address:______________________________
City/State:_____________________________
Zip Code:_____________________________
Phone Number:_________________________
Can we leave a message at this number? Yes / No

Please include your phone number for any questions we may have to clarify your order. If this is a surprise gift and you prefer no message to be left at this number, please indicate by circling a response.

Payment Information

Check or Money order enclosed or Credit Card Information. Type: MC/Visa/AmExp/Discover Card Number:_______________________ Exp Date:__/__/__
Name as it appears on the Credit Card:_____________________

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