Massage/Package 

Select the Massage type Maintenance Program (6 mo.) | 6 x $69+tax Maintenance Program (12 mo.) | 12 x $59+tax 30-Minute (single) | $45+tax 30-Minute (3 pack) | $120+tax 30-Minute (6 pack) | $240+tax 60-Minute (single) | $75+tax 60-Minute (3 pack) | $210+tax 60-Minute (6 pack) | $396+tax 90-Minute (single) | $100+tax 90-Minute (3 pack) | $279+tax 90-Minute (6 pack) | $534+tax

Who would you like the gift certificate to be "from"?

Who will be the recipient of the gift certificate?

Please provide us with your credit card information.

Name

Mail to the address above  Hold at the studio for pickup

Mail to a different address  (indicate below)

Mail-to address, if different than above

Name

Special Handling Instructions

Are you a current client of Premier Massage Therapy/Premier Fitness Studio?

Yes  No

     If "no", how did you hear about us?

     Please select Another Client Building Sign (drive by) Dex Online Internet Search Engine Phone Book Postcard Mailing Posted Flyer Staff Member Wedgewood Chiropractic Woodbury Bulletin Woodbury Magazine Other