Appointment Request

We would be happy to schedule an appointment for you. Please keep in mind the length of time services may take and that availablity may be limited without advance notice. Please feel free to call us with any concerns. We will reply to your request informing you of further details. We look forward to serving you.

Name:

Email:

Address:

City:

State:

ZIP/Postal Code:

Phone:

Date Requesting:

Acceptable Start Time:

	9 am - 12 pm
	12 pm - 3 pm
	3 pm - 6 pm
	6 pm - 8 pm

Are you a new client:

Yes

Services Requesting:

	Facials/Esthetics
	Body Treatments/Wraps
	Retreats

Comments: