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Full Name*
Mobile number*
Email address*
Do you have any referral ?
How did you hear about us? *
Google
Yelp
Facebook
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Other
When would you like to come? *
Time range requested*
Any Time
Weekday
Weekend
11am-1pm
2pm-4pm
5pm-after
Select services *
Acne Healing Treatment $250
Purifying Treatment $250
Oxygen Facial Treatment $260
Medi-Infusion Treatment with extractions $285
Medi-Infusion Treatment without extractions $250
Energy Rejuvenating Treatment $275
Multi-Lifting Skin Tightening Treatment $285
Facial Reflex Treatment $240
Japanese Lifting Treatment $250
Facial Treatment / Not sure which one.
Eyelash Extensions Full Set $300
Eyelash Perm $150
Thai Massage 60min $165
Thai Massage 75min $195
Thai Massage 90min $220
Therapeutic Massage 60min $155
Therapeutic Massage 75min $185
Therapeutic Massage 90min $210
Aromatherapy Massage 60min $180
Aromatherapy Massage 75min $215
Aromatherapy Massage 90min $245
Himalayan Hotstone Massage 60mi $160
Himalayan Hotstone Massage75mi $190
Himalayan Hotstone Massage 90mi $215
What are your current skin concerns?....for facial treatment.*
What is your skin care goal? *
Purpose of this visit*
Regular Maintenance( for facial )
Help Solve Skin Problems( for facia l)
Pampering myslef( for facial )
Special Event(for facial )
Wedding (for facial )
Relaxation / Stress Relief
Maintenance for healthy body ( for massage)
Relief body pain ( for massage )
Body muscle relaxation (for massage)
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