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Appointment Request Form

Request an Appointment

If you would like to request an appointment online, please fill out the required fields of this form.  Incomplete requests will not be received.  Name, email, and phone number are required for confirmation of service.  Online requests should be made two weeks in advance for full body massage services.  One of our representatives will email you to confirm the exact day and time of your appointment.

If you would like to request a corporate chair appointment or schedule a corporate event, please email instead of completing the form below.

Full Name*:  "John Smith"
Day Phone*: (- "(###) ### ####"
Evening Phone: (- "(###) ### ####"
Email Address*:    ""
Type of Session*:
Best Day and Time 
for Appointment:
Best Day and Time 
to Call:
Description of 

 "Migraines, stress, soreness in my back"

Please answer "Yes," "OK," or "Send" to any prompts your browser may display.

Email for more information!
"Integrity & Compassion"

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