Reflexions Aromatherapy - Gift Certificate Order Form

Have a special someone you would like to treat to some soothing and relaxing aromatherapy?

Fill in the form below and send. Then mail in your cheque or money order. As soon as payment is received your gift will be sent.

Gift Certificate Order Form: (*=required)
*Your Name
*Address
*City
*Province
*Postal Code
E-mail
*Day Phone
Evening Phone
*Gift Amount :	Other Amount:

*Certificate Made Out To:
*Make Signed From:
Special Message to Recipient (if any):
Occasion (if any):


I want my gift certificate sent by e-mail:
I want my gift certificate sent by regular mail :
Recipient's Information
Mail to Name
E-mail
Address
City
Province/Territory
Postal Code

Please note that your personal information is always guaranteed secure and used only for the purpose of this transaction. I do not share or sell any of my client information to anyone.

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Disclaimer: Aromatherapy is considered complementary therapy. It is not intended to treat, prescribe, diagnose, cure, prevent disease, illness or use as a substitute for medical care. Always seek professional advice if you are not sure of alternative treatments & the use of essential oils. Reflexions Aromatherapy makes no therapeutic claims & accepts no liability.