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Company/Client Billing Information

Customer Name First Name*

Customer Name Last Name*

Title/Position

Company Name

Main Billing Address

Email*

Phone Number*

By providing us with your phone number, you agree to receive SMS text message notifications to alert you when you receive any update regarding your event, and to be contacted by your event therapist.

Fax

Alternate Contact Person First and Last Name

Alternate Contact Person Phone Number

Alternate Contact Person Email

Event Site/s Information

Event Company Name (If different from above)

On Site Contact Persons First Name (If different from above)

On Site Contact Persons Last Name (If different from above)

On Site Contact Persons Phone Number

On Site Contact Persons Email

Hourly Pay

Total # of Therapist for this location*

Total # of massage hours for this location

Complete Address for Event Location*

Zip code*

City*

State*

Time Zone*

Event Date and Times

Day	Month	Year	Start Time	End Time

Use the plus and minus icons at the end of the row to add or remove multiple Event Date and Times

Multiple Event Site Location

Add another location Remove location

If you have more than one location needing massage services, simply add location details by clicking on the Add Location Link

Is this an employee paid massage event? If so, with our one of a kind employee paid massage option, multiple participants/employees can schedule their desired massage time, split the bill, receive their invoice and pay using their own payment method

Employee paid massage

Check this option if you want to Sponsored a Corporate Massage and set a list of all participants.

Participants E-mail*

Please add the email for each participant evolved in the Wellness Massage session

More Locations

On Site Contact Persons First Name	On Site Contact Persons Last Name	On Site Contact Persons Phone Number	On Site Contact Persons Email	Total # of Therapist for this location	Total # of massage hours for this location	Complete Address for Event Location	Zip code	City1	State	Time Zone	Event Date and Times

Register Info

Username*

Password*

Enter Password Confirm Password

Privacy Policy

Terms And Conditions*

Accept Terms And Conditions
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Company/Client Billing Information

Event Site/s Information

Register Info

Our Company

What We Offer