Please complete this online form to request a session with me. I will respond to you as soon as I can with a total cost and confirmation (you can decline if unhappy with my response). I do require full information in order to proceed. I will never call you, but once confirmed and booked I will need to message you on the day (via text) for final confirmation.

This is a booking request only and your request is not confirmed until you hear back from me via email - and then you must reconfirm back with me, or decline as required.

Please be sure your email address is correct, otherwise I will not be able to get back to you.

Request a booking:

First Name:

Last Name:

Email Address:

(Ensure this is accurately filled in, otherwise I cannot reply)

Mobile Number:

   
   

Full Address or Hotel Name/Location:
Requested Date: Check Availability page first
Requested Time:
(Adjust as required: weekday evenings only OR anytime weekends)

(Provide brief self description below)


Additional Information:


(Remember, this is just a request and it is not confirmed until I email you back)

Alternatively...

WhatsApp

SMS Text

Email

Rainbow Massage WhatsApp SMS Text Email X.com Facebook Booking Request
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