Maximental Massage Appointment Cancellation/Request Form

Appointment Cancellation/Request Form

Please fill out the following information to request an appointment.
Client's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Original Appointment
New Preferred Appointment Date and Time
If not listed , list your desired rescheduled time & date.
Reason for cancellation

Other
In Event of the Service Provider initializing the appointment cancellation, which option do you prefer?
I understand, each session is approximately 60 minutes,each appointment must be approved , I understand it can take up to 24 hours for approval, Once my appointment is approved I will be sent a reminder 24 hours before the scheduled appointment. I understand if I need to cancel I must cancel 24 hours before scheduled appointment, I understand any result of improper cancellation and or a “No-Show I will not be able to rebook.
Should be Empty: