Spa Form

Spa Reservation

Required fields are marked with *

First Name:

Last Name:

Street:

City:

State:

other

Zip/Postal Code::

Country:

Phone:

Day Phone:

Email:

Comments:

Spa Treatments:

Massage:

Reflexology ($90.00)	80 Min. Swedish Massage ($132.00)	Couples Massage (call for prices)
25 Min. Swedish Massage ($68.00)	50 Min. Deep Tissue ($108.00)
50 Min. Swedish Massage ($96.00)	75 Min. Deep Tissue ($144.00)

Hand & Foot Treatments:

Body Treatments:

Green Coffee Slimming Body Wrap ($108.00)	Water Lily After Sun Soothing Wrap ($108.00)	Moor Mud Wrap ($108.00)
Paraffin Body Masque ($108.00)	Body Polish ($78.00)

Hair Treatments:

Women's Hair Design & Style ($55.00 & Up)

Men's Hair Design & Style ($25.00)

Children's Hair Cut (12 and under) ($15.00)

Perms ($72.00 & Up)

Spiral Perms ($108.00 & Up)

Virgin Relaxer ($84.00 & Up)

Relaxer Touch Up ($78.00 & Up)

Color ($78.00 & Up)

Cap Highlighting ($78.00 & Up)

Full Foil Highlighting ($150.00 & Up)

Partial Foil Highlighting ($96.00 & Up)

Deep Conditioner ($12.00 & Up)

Matrix OPH Smoothing System ($420.00 & Up)

Waxing:

Spa Packages:

The Oscar (2 1/2 Hrs: $162.00)	A Day of Beauty (5 1/2 Hrs: $396.00)	My First Spa Package (3 Hrs: $174.00)
The Grammy (4 Hrs: $258.00)	Gentlemen's Package (3 Hrs: $224.00)

Hot Stone Massage (50 min: $132.00)::

Aromotherapy (add to any massage for $10.00 more!)::

Date Service Requested:

* MM/DD/YYYY