PACKAGE APPOINTMENT FORM
WITH APPOINTMENT ONLY

Combining treatments is a good way to relax and explore different complementary techniques.

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
  • Hot stones are used to help you relax.
  • If any, specify in Important note(s).
  • For Interac credit transfer, use the following email: rohrei@yahoo.ca
  • Depending on the package, the amount paid will be shared in Massage Therapy and Naturotherapy.
  • For texting, please provide me a mobile phone number that Iwill be able to use to confirmat your massage appointment.
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