Gift Certificate Order Form
If you do not receive a confirmation email within 24 hours, please call or email us.
Billing Name(s) of person buying certificate:
Email: (must fill in or it does not show)
Mailing Street Address of person purchasing gift certificate: (address to mail credit card receipt to) Address:
City,

State Zip

Who is this Gift for: TO: Name on Certificate to:
If you want us to mail it directly to them, please enter their address, or leave blank if not and it will be mailed to the billing address.
Names to list on certificate as FROM: Certificate is From:
Your phone Number:
How did you hear about us?
(what search engine or link did you use)
Which room would you like to book? Rates vary per day and season. Check calendar for current rates for that time. Laurel Suite ($209 Friday or Saturday weekend stay plus tax)
Laurel Suite ($199 Sunday - Thursday weekday stay only)

Dogwood Room ($199 Friday or Saturday weekend stay plus tax)
Dogwood Room ($189 Sunday - Thursday weekday stay)

Parlor Room ($199 Friday or Saturday weekend stay plus tax)
Parlor Room ($189 Sunday - Thursday weekday stay)

Mountain View ($174 Friday or Saturday weekend stay plus tax)
Mountain View ($164 Sunday - Thursday weekday stay)

Vineyard Room ($174 Friday or Saturday weekend stay plus tax)
Vineyard Room ($164 Sunday - Thursday weekday stay)

Garden Room ($174 weekend stay , Friday or Sat. plus tax)
Garden Room ($164 weekday, Sunday-Thursday plus tax)

Other - enter dollar amount below if you want a dollor amount value.

Check In Date if known otherwise leave blank: Gift Certificate is good for one year. The bearer can call and book their night within one year of receipt.
Number of nights: Number of Guests (1 or 2): Rates based on double
occupancy - no more than one couple per room please. No children
Spa Packages (Massage only):

Oasis One hour Massage ($85.00 one hour per person)
- one person
two people - massages are seperate $170

Oasis 90 Min Massage ($125.00 for 90 min per person)
- one person 90 min massage
two people - (seperate massages) $250)

Couples Oasis Massage $180.00 two people side by side at the same time with two therapists - one hour treatment)
one hour - $180 per couple
90 minuites $ 270 per couple

Hot Stone Massage ($95.00 per person, one hour
-one person - one hour hot stone $$95
-one person - 90 Min Hot stone $170
-two people - one hour massages are one at a time, back to back $190)

Neuromuscular Therapy
one hour$85
or $125 for 90 min.

Reflexology Treatment ($75.00 one Hour)

Preferred day and time of treatments:

 Spa Packages (w/ skin care treaments):

Couple's Relaxation Package ($340.00 for two people - includes 2 massages and two facials)

One Oasis European Facial Treatment $85

One European Facial with an hour Massage $170
(This is for one person, getting both treatments)

Anti-Aging Organic Medi-Facial $105 ea.

Rosacea Rescue Facial $95 ea.

Organic Acne Facial Treatment $85 ea.

D'vine Wine Therapy Treatment one person $195 ea.
(One hour massage & facial hand and foot treatment)

Gemini Treatment - $85 ea.

Preferred day and time of treatments:

Would you like to add gratuity for spa services to your certificate? If so, what amount:
Add On Romance Package ($89.99 Addl)
List if you prefer Champagne, Red or White Wine or Sparking Cider.

Spa Therapy Basket ($45.00 addl)

 
Credit Card Information:

Card to be billed
CC#:
Sec. code listed on back		 Type: (MC, VS A/X, Discover: Exp Date:
Address for Credit card account if different from your mailing address - leave blank if same
Please list any dietary restrictions, food allergies or dislikes, comments (i.e.: vegetarian, diabetic, no cantaloupe, grits, cheese, ...) Please enter any comments below: Check-in is between 3pm - 8pm. Please let us know if you require a late check-in. If you want to do a dollar value rather than a room, list it here.
If you were unable to send this form, or do not receive a email confirmation within 24 hours, contact us via regular e-mail at info@mountainlaurelcreek.com
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