Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

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What services are you interested in? *

Please note: At the time of your booking confirmation a deposit of $50 will be collected to reserve your session. Packages are for one person only, non-transferable, and must be used within 90 days of purchase.

60 Minute Session ~ $250

75 Minute Session ~ $300

90 Minute Session ~ $350

120 Minute Session ~ $400

Package of 4 - 60 Minute Sessions ~ $900

Package of 4 - 75 Minute Sessions ~ $1,100

Package of 4 - 90 Minute Sessions ~ $1,250

Package of 4 - 120 Minute Sessions ~ $1,450

First Preference for Date of Service *

MM

DD

YYYY

First Preference for Time of Service *

Hour

Minute

Second

AM PM

Second Preference for Date of Service *

MM

DD

YYYY

Second Preference for Time of Service *

Hour

Minute

Second

AM PM