Name *

First Name

Last Name

Phone *

(###)

###

####

Please choose below *

30 min Body - $65 *Last slot 6:30pm if available.

60 min Full Body - $120 *Last slot 6pm if available

80 min Full Body - $170 ( *$120/ GRAND OPENING First Timer Deal! ) *Please note that the last slot will be 5:40pm if available.

20 min Foot Bath and Massage- $45 *Last slot 6:30pm if available.

30 min Foot Bath and Massage- $60 *Last slot 6:30pm if available.

40 min Foot Bath and Massage- $75 *Last slot 6:30pm if available.

60 min Foot Bath and Massage- $85 *Last slot 6pm if available.

Request Date

MM

DD

YYYY

Time *

Please let us know your preferred time between 2pm-6pm

Hour

Minute

Second

AM PM