Gift Certificate Order Form

If you're looking for the perfect gift, consider giving a D'Lo Mobile Spa treatment to someone special in your life. Whether it's for Mother's Day, a birthday, baby shower, wedding shower, graduation, or retirement - even as a way to say "thank you" or simply "I love you" - a D'Lo gift certificate is something anyone can enjoy

Please enter the information below and click the Submit Form button to order your gift certificate.

Certificate Amount:	$	minimum order $50
Quantity:
Email Address:		to confirm receipt
Phone Number:		to confirm receipt
Recipient Information (optional)
To:
From:
Special Message:
Shipping Information (where will the gift certificates be shipped?)
Name:
Address:
City:
State/Province:
ZIP/Postal Code:
Payment Option:		Credit Card by Phone (Visa and Mastercard accepted)
		Cheque by Mail