Name *

First Name

Last Name

Preferred Daytime Phone Number (USA numbers only) *

(###)

###

####

Treatment(s) Requested (check all that apply)*

Descriptions and prices for all treatments can also be found on the massage, facials, aromatherapies, and spa packages tabs above.

Individual Massage (25 minutes)

Individual Massage (50 minutes)

Individual Massage (80 minutes)

Couples Massage (25 minutes)

Couples Massage (50 minutes)

Couples Massage (80 minutes)

Aromatherapy Massage (50 minutes)

Aromatherapy Massage (80 minutes)

Pre-Natal Massage (25 minutes)

Pre-Natal Massage (50 minutes)

----Massage Add-on: Hot Lava Shell

----Massage Add-on: Head & Scalp Massage

Aromatherapy Body Polish and Back Massage (50 minutes)

Aromatherapy Escape (80 minutes)

Spa al Mare Facial (50 minutes)

----Facial Add-on: Diamond Microdermabrasion

----Facial Add-on: Eye, Lip and Feet Treatment

Signature Oxygen Facial (80 minutes)

Oxygenating Deep Cleansing Facial (50 minutes)

Eye, Lip and Feet Treatment (45 minute)

Spa Package: Total Body Rejuvenation (135 minutes)

Spa Package: Stress Relief Intensive (100 minutes)

Spa Package: Detoxifying Seaweed Wrap (90 minutes)

----Seaweed Wrap Add-On: 50 Minute Massage

Sun Soother Lily Mask (25 minutes)

Waxing

----Full leg

----Half leg

----Bikini

----Upper lip

----Eyebrow

----Underarm

If yes, what is the date of your check-in?

MM

DD

YYYY

If yes, what is the name on your hotel reservation?

First Name

Last Name