Booking Form
All bookings will be confirmed within 24 hours.
*
indicates required fields
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Name:
*
Telephone number:
*
Email address:
*
Preferred method of contact:
Telephone
Email
No preference
*
Appointment/Booking Request:
Yes
No
*
Preferred date & time:
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Treatment required:
Thermal Auricular Therapy / Ear Candling
Indian Head Massage
Body Massage
Aromatherapy
Holistic Facial
Sports & Remedial Massage (deep tissue massage)
Stone Therapy (Hot & Cold)
Other
Additional Info:
*
How did you hear of this website:
Poster
Business card
Leaflet/flyer
Search engine
Yellow Pages
Word of mouth
Other
After filling the details click on the SUBMIT button.
©
Rachele Kenion 2006, 2007, 2008. All rights reserved.
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