Schedule

Name (First & Last)
Phone
Address
City	, CA
Zip Code
Email address
Type of Card
Name as it Appears on Credit Card
Credit Card Number
Expiration Date
3 Digit CCV2 Code (on back of card)
	First Time Client Returning Client
Time and Date Appointment Requested
Treatment Style
Treatment Name
Time Length
Therapist Gender
Confirmation phone number
	In Office? Out Call?
Promo code or coupons

Appointment Request Information

Must book appointment 36 hours in advance of treatment requested.

All appointment requests made online will be answered within 24 hours.

Please note you must provide a valid credit card number

to guarantee your appointment reservation. Your credit card will NOT be charged

UNLESS you miss your appointment. If you do not wish to provide this information,

We cannot guarantee your appointment slot, though we will do our very best to try.

We REQUIRE a MINIMUM of 24 hours advance notice if you are unable to keep your
appointment.

If you cancel in less than 24 Hours of your scheduled appointment time or do not show up for
your appointment,

you will be charged a $25 dollar service fee.

When you send us your request you will receive a confirmation with
your massage appointment info.
All first time clients will receive a coupon for $10 off with your
confirmation.