Custom Gift Certificate

Gift Information

Enter the recipient’s name and sender’s name as you’d like them to appear on the gift certificate.

To:
From:

Include a Message (optional)

Title:
Message:

Choose an Amount or Service

Please choose an amount between $25 and $1000 OR a choose a specific service listed here.

Amount: $
Please don’t show the amount on the gift
      certificate.
or     
Service:

Preview

See how a gift certificate looks:

Choose Delivery Method

Email – The gift Certificate will be emailed to you once the payment transaction has been completed.

Mail Delivery – Please allow 3-5 days to receive the Gift Certificate. An additional postage of $0.99 will be added.

Recipient’s Information

Name:
Last Name:
Company:
Street:
City:
State:
Zip code:
Phone number:

Payment Information

I prefer to provide my credit card information by phone – Please call me.

Card owner:
Card number:
Type of credit card:
Expiration date:
CVV:

Your Information

First name:
Last name:
Address:
City:
State:
Zip code:
Phone number:
Email:

Complete Your Purchase


Fifth Ave Thai Spa,
5 East 57th St., 4th Floor
New York, NY 10022
Phone: (212) 644-8239
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Fax: (212) 644-8238
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