Gift Certificates

To order a gift certificate, simply fill out the form below. You can choose to have the gift certificate mailed to someone or pick it up at our office. If shipping, postage is free of charge.

Payment for gift certificates is processed through PayPal. A PayPal account is not required. You may use any major credit card.

Your First Name:
Your Last Name:
Your Email:
Your Phone:
Gift Certificate Amount:	$110 – One Acupuncture Treatment (new patient) $80 – One Acupuncture Treatment (returning patient)
Quantity:
Recipient’s Name:
Would you like to pick up the gift certificate or have it mailed?	Pick Up Ship
If shipping, ship to information:
Address 1 :
Address 2 :
City:
State:
Zip: