Extras Request form
Please submit this form to request a Gift card, a massage at your place or a lomilomi 3xpack. We will confirm your extra as soon as possible.
Sign in to Google to save your progress. Learn more
Name *
Email *
Extra *
Please, if you ask for a massage at your place, indicate your address and the treatment you would like to reserve.
Anything else?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy