Full Name of Guest Requesting Service *

Or Primary Guest for couples services

First Name

Last Name

Guest Mobile Phone

Used only for direct communication if needed

(###)

###

####

Name of Hotel Staff Requesting Service

First Name

Last Name

Staff Contact Number

(###)

###

####

Type of Service Requested

Couples Side-by-Side (two staff)

Couples Back-to-Back (one staff)

60 Min Massage Service(s)

90 Min Massage Service(s)

60 Min Facial Featuring Yonka Paris

Preferred Service Date *

MM

DD

YYYY

Alternative Service Date

MM

DD

YYYY