To order gift certificates by  local (Oregon) check or money order, please print out this page, fill in all requested information and send along with payment to:


Melissa Murphy, LMT
White Willow Massage Therapy
P.O. Box 3151
Albany, OR 97321

Gift Certificate Order Form


 Name_________________________  Date_____________________

 Address____________________________

__________________________________

__________________________________

Session you would like to purchase (please see Services & Prices page) ___________________

Name of Recipient__________________________________________

Occasion (birthday, holiday, etc.)_________________________________

Address where you'd like the gift delivered if different from address above

__________________________________

__________________________________

Would you like to include a personal note with your gift certificate?

____________________________________________________________

____________________________________________________________

Payment Type:   Check_______    Money Order_______

If paying by check, Driver's License#__________  &  Expiration Date__________

Please make payable to Melissa Murphy

If you would like me to send confirmation of your order and receipt of payment, please provide your e-mail address ______________________________________

Your gift will be sent first class mail within 3 business days following my receipt of your payment.

Thank you for your purchase!