Wellness card® Gift Voucher Order Form

Your Details

First Name *

Last Name *

Email Address *

Gift Voucher Order

Please chose which Type of Gift Voucher/s you would like to purchase.

DIGITAL ONLY
- A physiocal copy of your voucher/s will be emailed to you as a jpeg image for you to forward on, or print out at home.
PRINT & DIGITAL
- You will receive a digital voucher as above, along with a physical copy of your voucher/s. These will be posted to you to the address provided.

What type of Gift Voucher/s would you like to order? *

How many Gift Vouchers would you like to order? *

Payment Amount

Please provide your address

Street address

City

County

Postcode

Country

This is the address which we will post your Gift Vouchers to, so please double check your entry to ensure it is correct.

Recipient Details

We can WRITE the recipient's name on the Gift Voucher for you if you would like us to.

** Please note ALL Gift Vouchers have a 3 month (12 week) activation time limit from date of purchase.

Would you like us the write the recipient's name on the Gift Voucher/s for you? *

YES please!NO thanks - I will do it myself

Recipient's First Name *

Recipient's Last Name *

Your Payment

Please make Payment *

Pay

THANK YOU FOR YOUR ORDER!

Your items will be on their way to you soon by email /and post.

If you have any questions or queries please contact the team:

Email: wellnesscarduk@gmail.com

Tel: 01646 693333

THANK YOU FOR YOUR SUPPORT!

TEAM WELLNESS CARD®

Physio-Plan Ltd. (trading as Wellness card®) is commited to ensuring the security and protection of the personal information that we process, and to provide a compliant and consistent approach to data protection. If you have any questions related to our GDPR compliance, please refer to our Privacy Policy for details or contact our Data Protection Officer on 01636 693333.