Serenity A Day Spa

GIFT CERTIFICATE ORDER FORM:
If you do not see a confirmation page after you hit the "Submit" button, your order was not successfully submitted. Please call the spa directly at 203-929-1002 to order your Gift Certificate.

Recipient's Name (As you would like it to appear on the Gift Certificate):

Giver's Name(s) (How would you like it signed?):

Would you like to include a short message? (Happy Birthday, Happy Anniversity, etc):

What dollar amount would you like to purchase:

Would you like to include a gratuity? (18%-20% is customary) - yes/no:

If yes, enter dollar amount of gratuity:

Who will this be delivered to?:

Name:
Street Address:
City, State, Zip:

Who is purchasing this Gift Certificate?:

Name:
Street Address:
Street Address (continued):
City, State, Zip:

Phone (so we can contact you if we need clarification on something):
Email (to receive your receipt):

How will you be paying:

Card #:
Exp. Date:
3 Digit Security Code:
Name on card:
Billing address for this card:

Would you like to be added to our mailing list to receive our future specials?:

Serenity ~ A Day Spa
1077 Bridgeport Ave
Shelton, CT 06484
(203)929-1002

Hours: (Monday-Thursday) 9-7; (Friday) 9-6; (Saturday) 9-4