SPA Reservation Form

SPA / Facial Reservation Request

Please fill the form below to make reservation.
Full Name*

First NameLast Name
Age*
E-mail*
example@example.com
Phone*

Country CodeArea CodePhone Number
Reservation*
Number of Guest(s)*
If more than 4 guests, please contact.

Tel: +66 842 498 294

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Guest 1 treatment select*
Other treatment / Requests
For Guest 1
Promotion Code
For Guest 1
Guest 2 treatment select
Other treatment / Requests
For Guest 2
Promotion Code
For Guest 2
Guest 3 treatment select
Other treatment / Requests
For Guest 3
Promotion Code
For Guest 3
Guest 4 treatment select
Other treatment / Requests
For Guest 4
Promotion Code
For Guest 4
Please wait for our confirmation email and reply us back to reconfirm your information details after we receive your email the reservation will be completed. Please note the our email may be sent to your spam/junk mail.*

Acknowledge
If you require for free shuttle service, please contact directly via...

Tel: +66 842 498 294

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PONSARIN AESTHETIC & MEDICAL SPA

162/2 Changklan Rd, T.Changklan, A.Mueang, Chiang Mai 50100 THAILAND

Thank you for your reservation.
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SPA / Facial Reservation Request