Reserve Your Gift Certificate

Complete the form below to reserve your OSTM public clinic gift certificate(s).
A staff member will be in contact with you to process your payment and confirm delivery information.

Gift Certificate* Pricing:

*Buy 1 for $40, Buy 2 for $75, Buy 3 for ONLY $99**,*

Buy 4 for $140, Buy 5 for $175, Buy 6 for $198

*Gift Certificates are valid for five (5) years from the date of purchase.

**3 Gift Certificate Package normally $105 is only $99! SAVE now until December 18th, just in time for the Holidays.

Select $105 in the drop down menu and discount will be confirmed by OSTM employee when they contact you to confirm delivery information.

Call Syracuse 315-424-1159 or Rochester 585-241-0070 for information.

To*
From*
Amount of Gift Certificate*
Location*
Recipient Information

(If gift certificate is to be mailed directly to them)
First Name
Last Name
Email*
Phone*
Address
Address
Street City State ZIP Code
Billing Information
First Name*
Last Name*
Email*
Phone*
Address
Address
Street City State ZIP Code
Comments
This field is for validation purposes and should be left unchanged.

Reserve Your Gift Certificate

Gift Certificate* Pricing:

Buy 1 for $40, Buy 2 for $75, Buy 3 for ONLY $99**,

Buy 4 for $140, Buy 5 for $175, Buy 6 for $198

*Gift Certificates are valid for five (5) years from the date of purchase.

**3 Gift Certificate Package normally $105 is only $99! SAVE now until December 18th, just in time for the Holidays.

Select $105 in the drop down menu and discount will be confirmed by OSTM employee when they contact you to confirm delivery information. Call Syracuse 315-424-1159 or Rochester 585-241-0070 for information.

Recipient Information

Address

Billing Information

Address

*Buy 1 for $40, Buy 2 for $75, Buy 3 for ONLY $99**,*

Select $105 in the drop down menu and discount will be confirmed by OSTM employee when they contact you to confirm delivery information.

Call Syracuse 315-424-1159 or Rochester 585-241-0070 for information.