Request a Quote

1Contact Information

2Event Information

3Session Information

Your Company's Name

Contact Name *

First

Last

Email *

Phone *

How did you hear about us?

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Event Location *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Event Date *

Please allow up to a minimum of 2 weeks in advance for scheduling.

Alternate Date

In the event your primary date is unavailable, please advise of a secondary date you are willing to schedule for.

Event Start Time *

Event End Time *

How long will Therapists be needed? *–Select number of hours–2 hours (min)3 hours4 hours5 hours6 hours (max)

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What best describes the type of session you are interested in? *

• Workplace Wellness: Chair Massage
• Workplace Wellness: Group Stretch
• Workplace Wellness: Chair Massage and Group Stretch combined
• Marketing Event: Chair Massage
• Social/Private Event: Chair Massage
• Social/Private Event: Table Massage
• Social/Private Event: Chair Massage and Table Massage combined

Customize your Social event session with:

• Reflexology (hand & foot hydration)
• Soft Music

Please tell us more about your Workplace Wellness session. *

Please tell us more about your Marketing event. *

Please tell us more about your Social event. *

Overall, approximately how many people do you want to provide services for? *

Cannot exceed 50

Please give an estimate of how many people will be receiving a Chair Massage.

Please give an estimate of how many people will be participating in the Group Stretch session.

Please give an estimate of how many people will be receiving a Table Massage.

Please give an estimate of how many people will be receiving a Reflexology Massage.

How will scheduling be determined?

• First come, first served
• Sign up sheet at event
• Pre-scheduled prior to event

How frequent would you like to schedule a session?

• One-time
• Weekly
• Bi-weekly
• Monthly
• Quarterly

Additional Comments

Please read our Terms and Conditions before continuing.

• I have read and agree with the Terms and Conditions for scheduling a session with AIM Massage Therapy.

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