Relaxey Cloud App.Workplace Chair Massage Inquiry And Booking Form

Please call 800-834-8350 or fill out the form below to book our services for Chair Massage for your organization.

Company:

Are you calling from a:

What your Company Does, In A Few Words:

Your Name:

Please Digitally Sign by Entering Your Initials Here:

Your Title:

E-Mail Address:

Work Number (Include Extension):

Direct Cell Phone Number:

Are you booking a session for TODAY?


If not, what's the date of the session you're interested in:

Time of session:

About How Many Hours Do You Wish to Book For:

What region?

Street Number and Name where the session will take place:

Town or City:

Neighborhood or corporate park name:

Type of building:

What floor is your company on?

What is the unit number or designation, if your company occupies a suite?

Is there free parking for our therapists? If there are special parking procedures, please state here:

Is there an elevator in your building?



About how many employees will be receiving Therapeutic Massage?

How many minutes do you want each person to receive?
( 10, 15, or 20 minutes are most common)

Is Chair Massage part of a larger effort? Please check all that apply:

If part of a regularly-scheduled Wellness Program, how often do you think you'll be seeing us?

What are your goals and desired outcomes for Chair Massage?

Would you like to pay your deposit now by credit card? (reserve the date)

<-- (Please hit 'Submit' to continue.)

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