Please complete the form below to be added to our Wait List. If an appointment becomes available we will contact customers who fit the details provided. Name Phone Email How would you prefer to be contacted Phone Email SMS Message How much notice do you need 1 HR 2 HRS 3 HRS 4 HRS Morning for afternoon Afternoon for following morning 24 HRS Today or Tomorrow - Please Select: Today Tomorrow Preferred Time Morning Afternoon For times other than today or tomorrow please complete below. If you have a range of preferred dates and times you have 3 separate options you can complete: Preferred Time Morning Afternoon Preferred Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Preferred Month January February March April May June July August September October November December Preferred Time Morning Afternoon Preferred Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Preferred Month January February March April May June July August September October November December Preferred Time Morning Afternoon Preferred Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Preferred Month January February March April May June July August September October November December What type of service: Remedial/Relaxing Deep Tissue/Sports Massage Thai Massage Swedish Massage Full Body Massage Aromatherapy Massage Hot Stone Massage Pregnancy Massage What length of time for massage 30 min 45 min 60 min 90 min Message Send
