Fill in this form with your information to have a Spa Physiog gift certificate prepared. You have the choice of selecting a spa service, or a specified amount for the lucky recipient!

Name:

Street Address:

City:

State:

Zip code:

Email:

Phone:



Select type of gift certificate: service or specified amount

Select a service:

Return to the Spa Physiog services page for descriptions

AND - OR

Enter an amount:
$



For the gift certificate:

To:

From:

Optional message for recipient:

Gift certificate to be sent to:

Recipient:

Customer:

Will be picked up at Spa Physiog:

If you are planning on picking up the gift certificate, please call or email me to make arrangements.

If Gift Certificate is to be mailed, please provide the recipients address:

Recipient's Name:

Recipient's Street Address:

City:

State:

Zip code:

  • Two forms of payment:
  • 1. Send a check or money order to SPA PHYSIOG, 103 West Weaver Street, The Daniel Building, PO Box 12, Carrboro, NC 27510
  • 2. Call or email Terri Exum at Spa Physiog (919-360-8178) and arrange for payment