Avello Spa & Health Club Gift Certificate Order Form

STEP 1: SELECT YOUR DETAILS

Please specify the amount in CDN currency:

Personalized message for the recipient of your Gift Certificate:

Method of Delivery:

Date:Date: (please specify if there is a preferred time for delivery) (please ad date and time)

STEP 2: YOUR CONTACT AND BILLING INFORMATION

BILLING INFORMATION

Billing Name:

Billing Email:

Billing Address: (city, state/province, postal code, country)

Phone:

RECIPIENT INFORMATION:

Recipients Name:

Recipients Email:

Recipients Address: (city, state/province, postal code, country)

Recipients Phone:

STEP 3: CREDIT CARD & PAYMENT INFORMATION

Please select your payment option below:

Payment Options:

If paying by VISA, MASTERCARD, AMERICAN EXPRESS:

Card Number:

Expiry: (mm/yy)

3 Digit Security Code:

Name on Card:

STEP 4: COMPLETE TRANSACTION

The Spa Concierge will contact you within 24 hours.