Please complete the information below to process your order! Kindly note - this is NOT an automated form; a member of our front desk will reach out to acknowledge receipt of your purchase as soon as we can. You can also pay your practitioner directly at time of service. Thank you! :)
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
What is this payment for?
*
Pre-pay for future session(s)
Payment for recent session
Late cancellation or missed appointment
Please indicate the date & time of the appointment(s) you wish to pay for, the client's name (if not you), and the therapist's name.
*
Please select your items and quantities below, then scroll down to select payment via CREDIT OR DEBIT CARD, or PayPal account (via a pop-up box that will offer you either option):
prev
next
( X )
30-minute session
$
65.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
45-minute session
$
85.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
60-minute session
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
75-minute session
$
120.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
90-minute session
$
135.00
Quantity
1
2
3
4
5
6
7
8
9
10
SPECIALTY UPGRADE
$
20.00
Abhyanga, Ashiatsu, Hot Stone, PreNatal, or RainDrop treatments (for 60+minute sessions only)
Quantity
1
2
3
4
5
6
7
8
9
10
Type of upgrade
Abhyanga
Ashiatsu
Hot Stone
PreNatal
Raindrop
Not sure/Mix & Match
Item subtotal:
$
0.00
Flat amount
$
250.00
Flat amount
$
500.00
Flat amount
$
750.00
Flat amount
$
1,000.00
Gratuity option 1
$
10.00
Tips are appreciated, but never expected! You may also tip your therapist directly after your treatment.
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Item subtotal:
$
0.00
Gratuity option 2
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Item subtotal:
$
0.00
Gratuity option 3
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Item subtotal:
$
0.00
Gratuity option 4
$
25.00
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Item subtotal:
$
0.00
Gratuity Option 5
$
30.00
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total
$
0.00
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
Select "PayPal Checkout" above, and then choose "Pay with a Debit or Credit Card" on the next screen (if you don't have/want to use PayPal account funds). It may prompt you to enter a password (choose anything), and then select "manually enter payment" to go into Guest Checkout. PayPal will have you create an arbitrary "account" to use their guest checkout, but it does NOT link to a bank account. :)
(Ignore this empty box above!
Submit
Should be Empty: