Two Hands Request Form
Please note: All services providers are independent contractors and we book on a first, come first serve basis. All appointments must be pre-paid to reserve your date, time, and service provider.

Thank you for understanding!

Name *
Your answer
Company Name
Your answer
Email *
Your answer
Contact Number *
Your answer
Service Location *
Your answer
Preferred Date *
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Preferred Time *
Time
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Mobile Massage (From $120/60 min and $160/90 min)
Our staff have the skills and education to provide you a custom massage at one starting fixed rate.
What service are you looking for?
Chair Massage (From $99/hr)
Massage Studio ($85/60 min and $110/90 min)
60 Minute Private Yoga Class (From $99/ hours. Up to 10 people, $10 for each additional yogi)
How many people are in your yoga group?
Will kids attend the yoga class?
Do we need to provide yoga mats? ($1 each)
Ergonomic Assessment (From $250)
Our Ergonomic Specialist will adjust your work space to work for you to prevent any kind of injury after a prolong amount of time.
Choosing your Wellness Provider
Do you have a gender preference? *
Do you have a Gift Card?
Please provide your Gift Card Number
Your answer
Comments
How did you hear about us?
Please provide us know of any additional information
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