| After
submitting this form, one of our staff will contact you as soon as possible regarding
billing information OR if you prefer, you may print out this form, fill it out and fax it
to our facility at 314 - 968 - 3163. If you wish to pay by check,
simply print out this form, fill it out and send it along with your check made payable to VITALITY
UNLIMITED SPA, 29 W. Moody Ave., Webster Groves, Missouri 63119.
Gift certificates are valid for 12 months and are not refundable or redeemable for cash.
Thank you for your order!
Vitality Unlimited Staff |