Request a Quote Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Event Date MM DD YYYY Preferred Start Time Hour Minute Second AM PM Number of Employees Membership Level Which level of membership are you interested in? Annual Quarterly Monthly Weekly Massage Length 10 minute massage (15 minute block) 15 minute massage (20 minute block) 20 minute massage (25 minute block) 25 minute massage (30 minute block) 30 minute massage (35 minute block) Sign Up Option for Employees We want employees to sign up for a specific time block We want a therapist on stand-by for when employees become available Music Preference Event Theme Employee Appreciation Team Building Wellness Program Budget $ Parking Info Payment Options Credit Card (3.3% + .30) ACH (1%) Corporate Check (0%) Request a Call with Jared Yes, Please send me your calendar link Additional Comments Thank you!
