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Gift Certificates are written for a dollar value, allowing
the recipient to choose a session length and location. Certificates are valid for sessions in
their home or office. For session fees please visit the appropriate page. You may wish to add travel fee (if any) to certificate value. While there is a one year expiration date on certificates,
we will extend the redemption period if requested prior to expiration.
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Purchaser Name__________________________________
Address_________________________________________
City, State, Zip___________________________________
Contact Telephone________________________________
Recipient Name (optional)_________________________
Contact Telephone (If Known)______________________________
If expiration date nears we may call recipient to remind them to schedule their session
Certificate Value $___________ List additional certificates separately.
Delivery Method (Choose One)
____Please mail to me at above address ____Please mail to alternate address (Please specify) ____Deliver to me at my office (This option available only if MSMM provides service at your office)
Total enclosed $___________
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Print, complete and mail this form with payment to:
MEDICALLY SOUND MOBILE MASSAGE, W5548 Quarry Rd, Appleton WI 54913
Please make checks Payable to: MEDICALLY SOUND MOBILE MASSAGE
Mail orders will be processed within three business days of receipt
You can also
and mail then payment. Email orders will be processed upon receipt of payment
Or, give order form and payment to your MSMM therapist at work |