Order Form for a Gift Certificate from PASCALE'SPA
(this form sends an e-mail to PASCALE'SPA or you can download a faxable form and fax us the information)

To: (name of the person(s) you wish to give a certificate)
First Name: Last Name:
Address:    
City:           State: Zip Code:


For: (name of the service(s) or package(s) you wish to purchase)


From: (your name)
First Name: Last Name:
Address:    
City:           State: Zip Code:

Phone #
e-mail:

Mail to: (will Pascale'Spa mail the certificate to you or the recipient?)