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<HTML>

<HEAD>


<META NAME="description" CONTENT="Buy Details Body Clinic Gift Certificates Online ! Send someone for a relaxing day at our day spa in Woodstock ontario.">
<META NAME="Keywords"    CONTENT="details,body,clinic,woodstock,ontario,gift,certificates,gift certificate,spa">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
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<!--<BASE HREF="http://detailsbodyclinic.com/gift-certificate.html">-->
<TITLE>Details Body Clinic Gift Certificates</TITLE></head>
<BODY  BGCOLOR="#FFFFFF"
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LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

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                                                        <td bgcolor="#FFFFFF" nowrap>&nbsp; 


<font face='Arial' size='+1' color='#000000'>

Details Body Clinic Gift Certificates

</font>


 &nbsp;</td>
                                                        <td width="50%" valign="top" align="left"><img src="widgets/gen_445.1.gif"></td>
                                                        </tr>
                                                </table>
                                        </td>
                                        <td background="widgets/gen_375.1.gif" align="center">
                                                <img src="widgets/gen_476.1.gif" width="70" height="22"></td>
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                                <tr>
                                        <TD VALIGN=top width="100%"><br>


         <SCRIPT LANGUAGE="JavaScript">
function validate(){
	var valid;
        valid=true;
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if (valid==false) { 
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return valid;
}
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<form name="questionary" action="http://supremecenter27.com:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="form_id" value="71">
<input type="hidden" name="user_id" value="1101">
<input type="hidden" name="title" value="Details Body Clinic Gift Certificates">

<input type="hidden" name="name" value="email2.html">


<input type="hidden" name="order" value="99 75 76 77 78 80 79 81 82 83 84 85 87 ">
<input type="hidden" name="submit_url" value="http://detailsbodyclinic.com/onsubmit1.html">
<input type="hidden" name="error_url" value="http://detailsbodyclinic.com/onerror2.html">

<TABLE border="0" cellpadding="5" cellspacing="0" width="95%">
<tr>
	<td colspan=2>&nbsp;</td>
</tr>


<input type="hidden" name="name_99" value="As a courtesy to our clients and future clients<br>we do not expire our gift certificates, but be aware<br>that they are only worth the dollar value of the<br>cert at time of purchase. Not the service itself.<br>( I understand and agree to these terms. )<br><br>">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

As a courtesy to our clients and future clients<br>we do not expire our gift certificates, but be aware<br>that they are only worth the dollar value of the<br>cert at time of purchase. Not the service itself.<br>( I understand and agree to these terms. )<br><br>

</font>


</td>
	<td>


 <input type="radio" name="field_99" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


 <input type="radio" name="field_99" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


</td>
</tr> 

<input type="hidden" name="name_75" value="Name On Gift Certificate">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Name On Gift Certificate

</font>


<font color="red" size="-1">*</font></td>
	<td>


<input type="text" name="field_75" size="35">


</td>
</tr> 

<input type="hidden" name="name_76" value="Address of Recipiant">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Address of Recipiant

</font>


<font color="red" size="-1">*</font></td>
	<td>


<textarea name="field_76" rows="5" cols="30"></textarea>


</td>
</tr> 

<input type="hidden" name="name_77" value="Purchaser Name">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Purchaser Name

</font>


<font color="red" size="-1">*</font></td>
	<td>


<input type="text" name="field_77" size="35">


</td>
</tr> 

<input type="hidden" name="name_78" value="Purchaser Address">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Purchaser Address

</font>


<font color="red" size="-1">*</font></td>
	<td>


<textarea name="field_78" rows="5" cols="30"></textarea>


</td>
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<input type="hidden" name="name_80" value="Purchaser Phone Number">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Purchaser Phone Number

</font>


<font color="red" size="-1">*</font></td>
	<td>


<input type="text" name="field_80" size="35">


</td>
</tr> 

<input type="hidden" name="name_79" value="Amount of Gift Card">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Amount of Gift Card

</font>


<font color="red" size="-1">*</font></td>
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<input type="text" name="field_79" size="35">


</td>
</tr> 

<input type="hidden" name="name_81" value="Pay By Master Card">
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	<td>


<font face='Arial' size='2' color='#000000'>

Pay By Master Card

</font>


<font color="red" size="-1">*</font></td>
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<font face='Arial' size='2' color='#000000'>

Yes

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<font face='Arial' size='2' color='#000000'>

No

</font>


</td>
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<input type="hidden" name="name_82" value="Pay by VISA Card">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Pay by VISA Card

</font>


<font color="red" size="-1">*</font></td>
	<td>


 <input type="radio" name="field_82" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

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 <input type="radio" name="field_82" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


</td>
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<input type="hidden" name="name_83" value="Credit Card Number">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Credit Card Number

</font>


<font color="red" size="-1">*</font></td>
	<td>


<input type="text" name="field_83" size="35">


</td>
</tr> 

<input type="hidden" name="name_84" value="Expiration Date">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Expiration Date

</font>


<font color="red" size="-1">*</font></td>
	<td>


<input type="text" name="field_84" size="35">


</td>
</tr> 

<input type="hidden" name="name_85" value="3 digit number on back of credit card">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

3 digit number on back of credit card

</font>


<font color="red" size="-1">*</font></td>
	<td>


<input type="text" name="field_85" size="35">


</td>
</tr> 

<input type="hidden" name="name_87" value="Additional Instructions">
<tr>	
	<td>


<font face='Arial' size='2' color='#000000'>

Additional Instructions

</font>


</td>
	<td>


<textarea name="field_87" rows="5" cols="30"></textarea>


</td>
</tr> 

<tr>
	
	<td COLSPAN="2">
	 
	<input type="submit" onClick="return validate()"><input type="reset">
	</td></tr>
</table>

</form>


                                        </td>
                                        <td valign="top" align="center">
                                                <table border="0" cellpadding="0" cellspacing="0">
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                                                                <td background="widgets/gen_486.1.gif" align="center"><img src="widgets/gen_484.1.gif" width="70" height="17"></td>
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                                                        </tr>
                                                </table><br><br>
                                        </td>
                                </tr>
                        </table>


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                        <br>
                </td>
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<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="aboutus.html">About Us</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>

<nobr>|<a href="ourservices.html">Spa Services</A>|</nobr>

<nobr>|<a href="specials.html">Spa Packages</A>|</nobr>

<nobr>|<a href="spa-products.html.0.html">Our Products</A>|</nobr>

<nobr>|<a href="bridal-packages.html">Bridal Packages</A>|</nobr>

<nobr>|Gift Certificates|</nobr>

<nobr>|<a href="form.html">Appointments</A>|</nobr>

<nobr>|<a href="day-spa-news-articles.html">News Articles</A>|</nobr>

<nobr>|<a href="photo-album.html.0.html">Photo Album</A>|</nobr>

<nobr>|<a href="past_e_letter.html.0.html">Past News</A>|</nobr>

<nobr>|<a href="sitemap.html">Site Map</A>|</nobr>

<nobr>|<a href="e-news.html">E-News</A>|</nobr>

<nobr>|<a href="local-links.html">Links</A>|</nobr>
</center>
</font>

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