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ABOVE ALL ELSE !!!
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Newsletter - Summer, '07
The Ultimate Massage For Men
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Name
Email address (required)
Telephone number
Are you a
New client?
Returning client?
If you are a returning client, approximate date of your last session?
If you are a returning client, please list any other e-mail addresses / screen names / etc that you might have used
What day(s) do you prefer to schedule?
What time(s) do you prefer to schedule?
What length of a session are you interested in scheduling?
INTRODUCTORY (1 hour) SESSION
BASIC (1 1/2 hour) SESSION
EXTENDED (2 hour) SESSION - available only to returning clients
Are you interested in a
1-on-1 (2-handed)?
2-on-1 (4-handed)?
Do you prefer
an incall to my studio?
an outcall to your residence?
an outcall to your hotel?
If an outcall is requested - where are you located?
Do you wish to apply any special discount / coupon / offer(s) to your session? If so enter code # here
Are you a full-time student (with current valid school ID)?
yes
no
Do you have any additional questions?
by my initals here and by checking the appropriate box, I agree to the Cancellation and "No Show" Policy as outlined below.
I agree to the Cancellation and "No Show" Policy as outlined below
yes
no
I have read and understand the Session Confirmation Procedure as outlined below
yes
no
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