Ionic Spa appointment
WITH APPOINTMENT ONLY

Detoxification and purification with the ionic spa helps to restore our vitality which is affected by the toxins we find in our environment.

Complete the * sections. The information collected in this form will be used to complete your client's file.
  • (For new clients, there is a $10 file opening fee.)
  • - -
  • / /
    DD = day, MM = month, YYYY = year
    Exemple : 24/02/1975

  • If any, specify in Important note(s).
  • For Interac credit transfer, use the following email: rohrei@yahoo.ca
  • For texting, please provide me a mobile phone number that Iwill be able to use to confirmat your massage appointment.
Powered byEMF Online Payment Form
Report Abuse