Gift Certificate Order Form

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.

Purchaser Name__________________________________


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 $___________

Print, complete and mail this form with payment to:
MEDICALLY SOUND MOBILE MASSAGE LLC, c/o 1109 W 11th Ave, Oshkosh, WI 54902
Please make checks Payable to: MEDICALLY SOUND MOBILE MASSAGE LLC
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


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