Please use this form to contact us for information or to reserve your session

  PERSONAL INFORMATION
Name
Address
City
State
Zip
Phone (day)   Fill in best contact phone
Phone (cell)
Phone (eve)
Email
  PREFERENCES FOR MASSAGE AND SCHEDULING

Type of massage you're interested in

(Swedish, Hot Stone, etc)
  Table massage           Chair massage
  In Home (add $10)     At our location   
Day or Date
Time of day

Length of Massage

30 minutes           1 hour              1.5 hour

  

MASSAGE PACKAGES AVAILABLE: (see massage page for prices)

5 one hour table massages

5 one & half hour table massages

5 thirty minute chair massages

5 one hour chair massages

 
For who For myself                 This is a gift

Is this a Corporate Group of Event?

(Describe in Comments)

 Corporate Group      Event
Are you interested in info about our PMS test group? Yes          No
Comments

  Thank you - We will contact you as soon as possible!

 

   

 

   

HOME І  MASSAGE  І SAILING  І EVENTS FOR WOMEN І ABOUT US І CONTACT

      We support the

Ithaca Breast Cancer Alliance