Custom Qi Party Interest Form

Custom Qi Party Info Form

Let's get your spa day organized! Let us know about your group and the services you're looking for. We will be in touch soon.
Group Organizer's Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
How many individuals are in your group?
Is there anyone in your group who requires ADA considerations? Example: Uses a wheelchair, using crutches, etc.
When are you looking to book services for your group?

MonthDayYear
Date
If you're flexible on booking dates, enter all possible days here and in the next date columns:

MonthDayYear
Date
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Please list all individuals in the group (first and last names).
What is your Qi Party in celebration of?
What is your budget for your group's spa services?

Up to $100 per personUp to $150 per personUp to $200 per personUp to $250 per personUp to $300 per personUp to $350 per personUp to $400 per personUp to $450 per personNo limit per person
Are you interested in ordering spa tapas and/or libations such as mimosas / wine / beer for your Qi Party?

YesNoNot Sure
Give us an idea of what services your group is interested in, and any other requests you may have:
Should be Empty:

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