Gift Certificate Order Form

Gift Certificate Order Form
Purchaser Information
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Recipient Information
Recipient Name

First NameLast Name
Recipient Phone Number
Format: (000) 000-0000.
Recipient Email
example@example.com
Order Details
Terms & Conditions:

This certificate can only be redeemed with appointments booked with myself, Roxanna (Roxyblooms), at my studio location. This cannot be used for event tattoos. Any tattoo appointment made using your gift certificate is subject to my normal booking policy.

This certificate cannot be resold and is valid for one-time use only. Limit one certificate per customer. Must be used in one visit. Non-transferable, non-refundable and not redeemable for cash. Not valid with any other offer or discount.
Purchaser Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Special Message? (Optional)

$50

$50 total value

$50.00

$75 ($25 BONUS*)

$100 total value

*Promotional bonus expires 30 days after purchase date.

$75.00

$125 ($50 BONUS*)

$175 total value

*Promotional bonus expires 30 days after purchase date.

$125.00

Total

Credit Card

Apple Pay

Google Pay

Afterpay

Purchaser Information