Book Now Massage Request Form Prefix*SelectMr.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 Body Massage - 50 minutesFace Body Massage - 60 minutesFace Body Massage - 90 minutes (Face & Body)Facial - 60 minutesFacial - 90 minutesFacial - 120 minutes (Face & Body)Aroma Treatment - 60 minutesAroma Treatment - 90 minutesReiki - 50 minutesReiki - 60 minutesReiki - 90 minutesDesired Experience for 1st personSwedishDeep TissueShiatsuShiatsu / Deep Tissue CombinationIf you prefer massages other than listed here, please see the list click here(open in a new tab)2nd 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 CombinationBirthdayEnter 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)* Date Format: MM slash DD slash YYYY 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)* Date Format: MM slash DD slash YYYY 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.Preferred Language for Reply（返信受け取り時のご希望言語）*English(英語)Japanese(日本語)Terms and Conditions* I agree (PLEASE READ BEFORE YOU SUBMIT) : When you submit your request, Please call us (310)212 6408 to provide your credit card information. This is a part of our 24 hour cancellation policy. Until you can provide the information, 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.CommentsThis field is for validation purposes and should be left unchanged.