Gift Certificate Form

Your Contact Information:

(*Required)

*First Name: *Last Name:
*Address 1:
Address 2:
*City: *State: *Zip:
*Phone:
Email Address:

Gift Certificate Recipient:

First Name: Last Name:
Address 1:
Address 2:
City: State: Zip:
Phone:

Please specify a service or a specific dollar amount that you wish to give. Gift certificates can be mailed to you or directly to the recipient, or can be picked up at Cityspa.

Dollar Amount OR:
Service to be given:
Message to be included for recipient:
*Payment Options:
VISA, Mastercard, American Express or Discover credit cards (director of spa will contact you to obtain credit card information)
Check (payable to Cityspa) sent to: 216 Third St. NE, Charlottesville, VA 22902
*Delivery Options:
Mail to recipient
Mail to me
Pick up at Cityspa

Gift Certificate Policies

For questions regarding services, payment or delivery, please call: (434) 984-5046
Comments/Questions:


Cityspa
216 Third Street, N.E.
Historic Downtown Charlottesville, Virginia 22902
(434) 984-5046
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