Massage Gift Card Order Form

Massage Gift Card Order Form

Gift Cards are sent via email only. The order will not be processed until payment has been received. Payments via Venmo and Paypal are easiest to process. If those options aren't available to you, select option "Other" and indicate your prefered method of payment. I will try my best to accommodate your request.
Purchaser Information
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Your Message
Send Date

Month Day Year
Date
Recipient Information
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Occasion *
Relationship to Purchaser *
Order Details
Gift Card Purchase
prev next ( X )
60min Massage $ 100.00

Quantity

75min Massage $ 120.00

Quantity

90min Massage $ 140.00

Quantity

Add Aromatherapy $ 5.00

Quantity

Add CBD $ 15.00

Quantity

Add Cupping $ 20.00

Quantity

Add Deep Tissue $ 15.00

Quantity

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00
Payment Method

PayPal : paypal.me/KaitlinKaufman Venmo: @KaitlinKaufman17
The Gift Card will be emailed to the recipient within 24hrs from when payment is received. The recipient can use it as soon as they receive it. The expiration date is one (1) year from the date of purchase. This card can only be used by the recipient.
Purchaser Signature

Clear
Date Signed

Month Day Year
Date
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

Purchaser Information