
Enquiries,
Bookings & Product Orders
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| mm |
| YOUR
DETAILS |
| Name
* |
|
| Company
Name |
|
| Position |
|
| Phone
(daytime) * |
|
| Phone
(mobile) |
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| Email
* |
|
| Address |
|
| *Mandatory
field |
|
| YOUR
ENQUIRY |
|
| What
is the nature of your enquiry? |
|
| If
interested in Event Massage what is the approximate number of participants
to be massaged? |
|
| If
interested in a massage, what length of massage would you like? |
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| |
|
| I
AM A NEW / EXISTING CLIENT AND WISH TO BOOK NOW |
| Preferred
dates and time of day (please provide us with two options if possible) |
| Option
1
|
| Option
2
|
| |
| PRODUCTS |
|
| I
would like to order bath salts |
Fragrance
|
| |
Number
of jars
|
| |
(We
will call or email you to confirm your order, payment
details and postage costs) |
| I
would like to order hand cream |
Fragrance
|
| |
Number
of jars
|
| |
(We
will call or email you to confirm your order, payment details and postage
costs) |
| I
would like to order a gift voucher |
Value
of voucher
|
| |
Number
of vouchers
|
| We
offer credit card facilities for Visa or Mastercard. Sorry no EFTPOS
available. |
| COMMENTS |
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| Do
you have any other comments to make or questions to ask? |
|
| How
did you hear about us? |
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| |
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| CONFIRMATION
DETAILS |
|
Please
contact me by |
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