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    Customer Type

    I have a Voucher (contains a massage package of 2, 4 or 6)I have a Gift Card (contains a dollar value toward a massage purchase)I have Neither

    Contact Information

    Massage Location

    On-siteSpa

    State

    City

    Number of Clients

    Massage Length

    Client Gender

    Please select client gender MaleFemaleOther

    Required Staff

    *Selecting more than 1 therapist may cause a delay in confirmation.

    Gender Preference

    Total Staff

    Massage Type

    RMT / LMT upgrade is $20 / hour; insurance receipt can be provided*Without the upgrade a Registered, Licensed or Certified Massage Therapist will attend (no insurance receipt)

    Insurance Receipt Required YesNo

    Client Notes

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