WEEKDAY VACATION PROMOTIONAL ORDER FORM

Please read the Weekday Vacation promotional offer Terms & Conditions before filling out the order form..

Please fill out all of the following information below and click submit. REQUIRED FIELDS ARE BOLD

If you have any questions, please contact Terry Shofron at (866) 239-6635 ext.2740

Name as it appears on your Credit Card:

First

Middle:

Last

Company you work for:

Home Billing Address (package mailed to this address unless otherwise specified)

Address

City

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Shipping Address (if different from billing address leave blank)

Reciepients Name:

Address:

City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Credit Card Type: Choose One Visa Mastercard American Express

Credit Card Number: Expiration month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026

CCV or security code numbers:
American express - four numbers printed on the front of the card
Visa or mastercard - Last three numbers in the "Authorized Signature" box on the back of the card

Daytime phone number (include areacode):

Secondary phone number (include areacode):

Email Address:

Number of packages you would like to order at $79/each

Note: One promotional package per person. You may purchase additional packages as gifts. Only one package will be valid per person per year. May not be used with any other promotional offer. Offer is only valid with presentation of the Weekday Vacation Card at time of checkout.

I have read and agree to the restrictions and terms of this promotional offer.

I agree: Date: 2/9/2010 5:18:36 AM

(Checking this box will signify your understanding and agreement to the terms and conditions outlined below).

Your credit card will be charged and then the package will be mailed to you. Processing and Shipping via FedEx takes approximately week.

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Promotion Terms & Conditions

Please read the rules and restrictions carefully!

Additional cards may be purchased as gifts, but only one card is valid per person, per year. If you have used this offer before you may renew but only if you old card has expired.

*On your first visit, you receive a full session Pure Relaxation Massage or an H2V Spa Style Facial. (WVC valued at $120 for our San Francisco Spa, $105 value at all of our other locations). You may upgrade this service to a different service if you wish by paying the difference in price at the time of service.

*20% off all products and services for one year. After initial visit (for all future visits), receive 20% off each time you use your Weekday Vacation Card for services and/or products over the course of one year (this discount applies to cardholder purchases only).

Restrictions

--Valid at any of our 9 California locations.

--This offer is only valid Monday-Thursday. (Hours of operation Mon-Thurs. are 9am-9pm)

--Black-out dates: December 20th -January 9th. (Valid any Monday-Thursday except black-outs)

--This offer is not valid for the purchase of gift certificates.

--Only one promotional package per person, but you may purchase additional ones as gifts for other people, as long as they do not currently have a valid Weekday Vacation card in their name.

--Offer valid for one year from date of purchase. Any unused portion that has not been used within the agreed time period will be void. The promotional card must be purchased in advance and will be mailed to you; it can not be purchased at any of our spa locations.

--Our promotional weekday vacation card must be presented at check out to receive promotional discount.

This offer may not be used in conjunction with any other promotional offer or discount. All guests must be at least 18 years of age. This promotional offer may only be redeemed for services and products for card holder. This offer may be cancelled or discontinued without notice. This offer and its promotional card have no cash value. Lost, stolen, or any unused portion (within the one year period) are forfeited.

This offer will be processed & then mailed to you at your billing address. Processing may take as long as two weeks before it is put in the mail, but we will do it as promptly as possible. The one year expiration date starts the day we mail it out to you.

Thank you & enjoy the spa!

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