Chair Massage – Appointments

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Contact Information

Name *

First

Last

Company (if applicable)

Email *

Phone *

Event Information

Date of Event *

Start Time of Event

End Time of Event

Address of Event

Address Line 1

Address Line 2

City

State

Zip Code

Number of Participants *

different payment? of

Number of Therapists Requested (if you know)

Length of Massage (5 to 60 minutes) *

What method will you be using for payment? *

Billing Address (if different from above)

Address Line 1

Address Line 2

City

State

Zip Code

Instant quote amount, if you used it:

Additional Notes:

Please note:

There may be a travel fee for each therapist included depending on your location(s). Plus, we kindly ask that you pay for any parking charges.