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 Quote Request Form

 CONTACT NAME       

            COMPANY         

 

         ADDRESS   

                  CITY    STATE  ZIP 

 

                        PHONE NUMBER    

                             FAX NUMBER   

 

 

            E-MAIL  

         WEBSITE  

 

 How did you hear about us?

Referred by    Website    Yellow Pages    Sign    Ad    Others

 

Interested in ?

Secretary's Day

Employee Benefits Fair

Employee Appreciation Day

Executive Training Sessions

Health Club Promotions

Membership drives

  Corporate Massage Program  

  Office Party

  Marketing Event

  Working retreats 

  Conventions

  Conferences

Birthdays

Community Events

Holiday Parties

Wedding Parties

State Fair

Grand Openings

Open Houses

Health Fairs

Sports Events

Spa Promotions/Beauty Salon

Charity Galas

Family Celebrations

# Emp/People receiving massage

How many hrs is your event      

Therapist Needed ?                  

 

How often would you require massage services? weekly  bi-weekly

                 monthly yearly

                 other (add @ comments)

Type of Massage  Chair Table

How long would you like each massage?

10 Min 15 Min  (Chair/Table)

20 Min 30 Min  (Table only)

Payment Options

Company pay 100%

Co-Pays (Co. 60% / Emp 40%)

Employee pay 100%

 

Please list any additional comments regarding your quote request