Book Now Massage Request Form Prefix*Mr.Ms.OtherName* First Last Phone Number* A cell phone number is preferred for us to reach you promptly. We will call this number for confirmation. Please double check the information in the field before submitting the form.Email* Enter Email Confirm Email Please enter the email address you would check often. We will send a confirmation email for you.BirthdayEnter your birthday(Month and Date). Let us give you special discounts on your special day. Click here for more detailsDesired Experience*Couple Massage 60 mins + Hot Stone SpaCouple Massage 90 mins + Hot Stone SpaSwedish - 50 minutesSwedish - 60 minutesSwedish - 90 minutesDeep Tissue - 50 minutesDeep Tissue - 60 minutesDeep Tissue - 90 minutesShiatsu - 50 minutesShiatsu - 60 minutesShiatsu - 90 minutesDeep/Shiatsu Combination - 50 minsDeep/Shiatsu Combination - 60 minsDeep/Shiatsu Combination - 90 minsFace Lymph Massage - 50 minutesFace Lymph Massage - 60 minutesFace Lymph Massage - 90 minutes (Face & Body)Facial - 60 minutesFacial - 90 minutesAroma Treatment - 60 minutesAroma Treatment - 90 minutesReiki - 50 minutesReiki - 60 minutesReiki - 90 minutesDesired Experience for 1st personSwedishDeep TissueShiatsuShiatsu / Deep Tissue CombinationFace Lymph2nd guest Information (Couple Massage)For couple massage, please enter 2nd guest's information. Massage date and time will the same time with the 1st person.Prefix*Mr.Ms.OtherName First Last Desired Experience for 2nd personSwedishDeep TissueShiatsuShiatsu / Deep Tissue CombinationFace LymphBirthdayEnter your birthday(Month and Date). Let us give you special discounts on your special day. Click here for more detailsThe most preferred schedule date and timeDate (1st Choice)* Please pick a date which you prefer the most.Desired Start Time*10:00am(Fri,Sat,Sun Only)10:30am(Fri,Sat,Sun Only)11:00am11:30am12:00pm (Noon)12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm3:30pm4:00pm4:30pm5:00pm5:30pm6:00pm6:30pm7:00pm7:30pm8:00pm8:30pm9:00pm9:30pm10:00pmThe time you pick will be the time massage starts.2nd preferred schedule date and timeDate (2nd Choice)* Please pick a second preferred date just in case our schedule cannot meet your first date.Desired Start Time*10:00am(Fri,Sat,Sun Only)10:30am(Fri,Sat,Sun Only)11:00am11:30am12:00pm (Noon)12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm3:30pm4:00pm4:30pm5:00pm5:30pm6:00pm6:30pm7:00pm7:30pm8:00pm8:30pm9:00pm9:30pm10:00pmThe time you pick will be the time massage starts.NotePlease write a note if you would like us to know for your arrangement such as special occasion and etc.Terms and Conditions* I agree (READ BEFORE YOU SUBMIT) : When you submit your request, we will give you a call for confirmation. Until we give you a call, your appointment is not confirmed. Once your appointment is confirmed, your appointment is booked. If you wish to cancel the booked appointment less than 24 hours of your appointment time, we still charge the full amount of the service on your credit card. Please arrive the spa 15 minutes prior to the appointment time.(It takes some time to check in, and change to massage clothes. ) If you came in late, you would only receive the treatment for the rest of your appointment time and the session would end at the originally scheduled time.PhoneThis field is for validation purposes and should be left unchanged.