LA MIRAGE GIFT CERTIFICATE PRE-ORDER FORM

Please fill out the following information so we can process your request expeditiously!.

Use the Send button at the bottom of the page to send your pre-order to us via e-mail.


Your Information
Name: *

Address 1:
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Address 2:

Town:
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Zip:
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Phone:
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E-Mail Address:
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* = REQUIRED FIELDS
Recipient's Information
Name:

Address 1:

Address 2:

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Zip:

What Services Are You Interested in Buying a Gift Certificate For (check all that apply)?

Day of Beauty
Day Spa
$
Hair Care
$
Skin Care
$
Nail Care
$
Massage
$
Other
$ (Please describe in the Comments area)
 

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Comments

 


  • Gift Certificates and Spa Gift Cards are valid for 1 year from date of purchase without "non-use" fees. Every subsequent year of non-use, La Mirage will assess a $20.00 per year "non-use" fee which will be deducted from the balance.
  • Gift Certificates and Spa Cards are non-refundable.
  • Gift Certificates and Spa Cards cannot be used to buy other Gift Certificates and Spa Cards.
  • Gift Certificates and Spa Cards can be replaced if lost or damaged, but a small administrative fee will be charged.
  • La Mirage is not responsible for the unauthorized use of Gift Certificates and Spa Cards.

REV 11/10//07