Individual Spa Service Request Enjoy a soothing massage in the comfort of your own home, office or hotel space. Please complete the request form below and we will contact you about securing your appointment. DIRECTIONS: Fill out the form below to request your spa service! Your Contact InformationYour Name* First Last Your Email* Your Mobile Phone*Appointment InformationDate of Desired Service* MM slash DD slash YYYY Time of Day Desired* Your Location* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is this Location a Hotel?* Yes No Name of Hotel* Hotel Room Number Will this be a Couple's Service?*-- Select One --No, just meYes, myself and one other personService InformationType of Service* 60 Minute Swedish ($105) 60 Minute Deep Tissue ($125) 90 Minute Swedish ($145) 90 Minute Deep Tissue ($165) 120 Minute Swedish ($185) 120 Minute Deep Tissue ($210) 50 min Sugar Body Scrub ($85) Mani/Pedi Package ($110) includes foot soak, file, buff, foot filing, sugar scrub exfoliant, foot and leg massage, polish. Aromatherapy Manicure-soak (w lavender aromatherapy oil, file, buff, hand massage, polish 90 Minutes Pedicure ($99) includes foot soak, file, buff, foot filing, sugar scrub exfoliant, foot and leg massage, polish 40 minutes Type of Service for the other person?* 60 Minute Swedish ($105) 60 Minute Deep Tissue ($125) 90 Minute Swedish ($145) 90 Minute Deep Tissue ($165) 120 Minute Swedish ($185) 120 Minute Deep Tissue ($210) 50 min Sugar Body Scrub ($85) Mani/Pedi Package ($110) Pedicure ($99) Would you like to add Hotstones for $20?*-- Select One --No, Thank YouYes, PleaseWould you like a Gel add on for $10?*-- Select One --No, Thank YouYes, PleaseWould the other person like to add Hotstones for $20?*-- Select One --No, Thank YouYes, PleaseWould the other person like a Gel add on for $10?*-- Select One --No, Thank YouYes, PleaseTotal CostGratuity (18%) Price: $0.00 Total Cost + 18% Gratuity $0.00 Next Steps Submit your appointment request and someone will contact you regarding confirmation.
