GALA 2025 Gift Card Form (NEW Dermapure Version) Your Purchase * 8001000160020002600300040005000600080001000012000 Your Gift Card Status: PEARL Your Gift Card Status: GOLD Your Gift Card Status: PLATINUM Your Gift Card Status: DIAMOND BONUS GIFT CARD BONUS GIFT CARD AMOUNT $ YOUR GIFT CARD VALUE YOUR GIFT CARD VALUE $ PLEASE ENTER A VALUE GREATER THAN OR EQUAL TO 750 PEARL STATUS ENJOY 20% OFF GIFT CARDS GOLD STATUS GIFTS WITH PURCHASE POWER POLISH & GLOW PLUS (value of $450) LASER GENESIS ELITE + EXOSOMES (value of $1000) GOLD SKINCARE PRODUCTS ZO ILLUMINATING SERUM (value of $141) ZO DAILY POWER DEFENSE (value of $65) ZO DELUXE EXFOLIATION ACCELERATOR + HYDRATOR (value of $175) FUNCTIONALAB COLLAGEN INFUSION (value of $41) GIFT WITH PURCHASE TOTAL: $1872 PLATINUM STATUS GIFTS WITH PURCHASE CLEAR + BRILLIANT & SKIN EXOSOMES (value of $1000) PICOSURE BRIGHTENING + SKIN EXOSOMES (value of $1250) 1 HA (HYALURONIC ACID) FILLER TREATMENT FOR LIPS, CHEEKS OR CHIN (value of $950) PLATINUM SKINCARE PRODUCTS ZO ILLUMINATING SERUM (value of $141) ZO DELUXE EXFOLIATION ACCELERATOR + HYDRATOR (value of $175) ZO GETTING SKIN READY KIT (value of $94) FUNCTIONALAB COLLAGEN INFUSION (value of $41) FUNCTIONALAB TENSING EYE COMPLEX (value of $130) GIFT WITH PURCHASE TOTAL: $3581 DIAMOND STATUS GIFTS WITH PURCHASE 1 HA (HYALURONIC ACID) FILLER TREATMENT (value of $750) MICRONEEDLING + HAIR OR SKIN EXOSOMES (value of $950) LUCERE GLASS SKIN LASER + EXOSOMES (value of $3000) DIAMOND SKINCARE PRODUCTS ZO ILLUMINATING SERUM (value of $141) ZO DELUXE EXFOLIATION ACCELERATOR + HYDRATOR (value of $175) ZO BALANCING EMULSION (value of $100) ZO FIRMING SERUM (value of $203) ZO GETTING SKIN READY KIT (value of $94) FUNCTIONALAB COLLAGEN INFUSION (value of $41) FUNCTIONALAB TENSING EYE COMPLEX (value of $130) ZO DAILY POWER DEFENSE w/ SPF (value of $94) SKINCEUTICALS P-TIOX (value of $190) GIFT WITH PURCHASE TOTAL: $5774 Buyer First Name * Buyer Last Name * Your Phone * Buyer Email * YOUR GIFT CARD PURCHASE WILL BE ADDED TO YOUR LUCERE ACCOUNT. PROCEED TO PAY If you are human, leave this field blank.