Appointment Form

Title: First Name Surname:


Address (only required if requesting a home visit)

House No./Name.

Address Line 1 ..

Address Line 2...

Town...............

County ............

Phone No. Email Address.


Do you require home or office appointment? (please tick appropriate box)

Home Office

Please note, there is no extra charge for home visits with a 10 mile radius of Winsford, Cheshire. If you live outside this area there will be an additional cost for travelling expenses which will be agreed in advance.

Preferred Day:

Time: morning ...afternoon ...evening


Special Offer

20% Discount

off your first session


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Bookings

Use this page to request an appointment for an Indian Head Massage.

Please complete the form below giving as much detail as possible and then click the submit button. Once we have received your request we will call you back to confirm your appointment.

Please note, none of the information you provide will be passed to any 3rd party nor will it be used for marketing purposes. All details will be kept confidential and treated in full accordance with the data protection act.

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