Event Inquiry Form
Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
What type of event are you interested in?
Detox Spa - Celebratory
Detox Spa - Bridal Shower
Detox Spa - Mom's Night
Detox Spa - Work Party
Raw Food Demo
Health & Wellness Conference
Cross Promotional
Other
What type of services would you like?
Ionic Foot Cleanse Detox
Ipulse TENS Unit - Acupuncture Mode
Herbal Steam Facial
Anti-Aging Clay Mask
Suction Cup Massage Therapy
Raw Food Demo
Juicing Demo
Nutritional Counseling
Detox Series: presentation, lecture, workshop
Are you interested in a display of our products or packaged goodie bags?
Soap
Candle
Body Butter
Aromatic Pouches
Mineral Salt Blend
What dates do you have in mind? Please select two and include the times.
How many people are expected to attend?
Please include a description of your event.
Submit
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