the body dynamic Gift Certificate order form

complete & fax to 713.797.1785

to pay by check, please mail to 2109 Lexington St. Houston, TX 77098

Gift Certificate Information:
Your name
Your email address
Your phone number
Recipient’s name
mailing address
City, State, zip
Message to recipient
Gift certificate amount
dynamic spa packages
additional instructions

Billing Information
American Express MasterCard Visa Discover
Name on card
Number
Expiration
Billing address
City, State, zip
Signature

Thank you for your order