Table Massage Request Form

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We provide 5 Star Massages that straight to your location. Please note: There will be a $5.99 Gas Surcharge and an automatic 18% gratuity on for all services.

Mobile Massage Rates from $156/ 60 minute and $193/ 90 minute
Hotel Rates from $156/ 60 minute and $208/90 minute
Weekend/ Holiday Rates/ After Hours (after 6pm)/ Last Minute Booking (within 6 hrs): Additional $20/hr

*Weekend rates begin on Friday at 6pm-Sunday at 9pm

*Rates may increase depending upon type of massage and parking fees

Let's get some info

Are you a *

New Guest

Returning Guest

First Name & Last Name *

If requesting a massage for someone else, what is their name?

Your Contact Number *

Your Email Address *

How can we contact you? (Check all that apply) *

Text Message (standard rates apply)

Phone Call

No Preference

Required

Massage Service Location (Complete Address: Street, City, Zip Code) *

For in-home massages, are there any stairs that the therapist has to go up to in setting up his/her massage table? *

Yes

Preferred Time *

Time

Preferred Date *

YYYY

Where would you like to receive your massage? *

Outdoors (backyard, patio, balcony, must provide shade)

Inside the home (must provide ventilation, ie: fan)

Hotel

Where do we park? Please provide as much detail as possible. ie: Building names, gate codes, guests parking (Please note: you need to PROVIDE/ PAY for parking, valet, toll roads) *

Mobile Massage (From $150/ 60 min and $185/90 min)

Our licensed and insured Wellness Providers have high end standards to meet your professional massage needs. Please note: pricing may increase depending upon location, parking, or tolls. We are taking all the precautions to help prevent the spread of COVID-19. All equipment will be sanitized prior to your appointment and massage therapists will wear a mask if requested.

What kind of massage would you like? *

Relaxing (lighter pressure, improves circulation and helps promote relaxation)

Therapeutic +$15 (firm pressure with extra pressure and attention in needed areas)

Deep Tissue +$15 (deep pressure)

Sports +$15 (therapeutic massage incorporating stretching)

Pregnancy +$15 (must be in the 2nd or 3rd trimester)

Thai Massage +$15 (Stretching and pressure points, enhances flexibility)

Other:

What Service are you looking for? (Pricing may increase depending upon service and location) *

60 Minute Massage (from $156)

90 Minute Massage (from $193)

60 Minute Couples Massage (back-to-back) from $312

60 Minute Couples Massage (at the same time) from $312

90 Minute Couples Massage (back-to-back) from $386

90 Minute Couples Massage (at the same time) from $386

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