Reservation Request

Date of Spa Treatment
month -- January February March April May June July August September October November December day  -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 year -- 2006 2007 2008 2009 2010

What time would you like to begin your treatment?
-- 9am 10am 11am 12 Noon 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm

What treatment would you like
-- Mud Bath, Jacuzzi, Blanket Wrap (1 hr) Mud Bath, Jacuzzi, Blanket Wrap & 1/2-Hour Massage (1 ½ hrs) Mud Bath, Jacuzzi, Blanket Wrap & Hour Massage (2 hrs) Mud Bath, Jacuzzi, Blanket Wrap, 1/2-Hr. Massage, & 1/2 Hr. Facial (2 hrs) Mud Bath, Jacuzzi, Blanket Wrap, Hour Massage, & Hour Facial (3 hrs) Herbal Mineral Bath, Blanket Wrap (1 hr) (For those who do not prefer mud) Herbal Mineral Bath, Blanket Wrap & 1/2-Hour Massage (1 ½ hrs) Herbal Mineral Bath, Blanket Wrap & Hour Massage (2 hrs) Herbal Mineral Bath, Blanket Wrap, 1/2-Hr. Massage, & 1/2 Hr. Facial (2 hrs) Herbal Mineral Bath, Blanket Wrap, Hour Massage, & Hour Facial (3 hrs) European Body Wrap (2 ½ hours) (Lose 6 to 28 inches of body measurement) ½-Hour Massage (Without Mud Bath or Mineral Bath) Hour Massage (Without Mud Bath or Mineral Bath) Mini-Facial (30 Minutes) (Without Mud Bath or Mineral Bath) Hour Facial (Without Mud Bath or Mineral Bath)

If you will be doing your treatment with another person, what is their name

What treatment would they like
-- Same as mine Mud Bath, Jacuzzi, Blanket Wrap (1 hr) Mud Bath, Jacuzzi, Blanket Wrap & 1/2-Hour Massage (1 ½ hrs) Mud Bath, Jacuzzi, Blanket Wrap & Hour Massage (2 hrs) Mud Bath, Jacuzzi, Blanket Wrap, 1/2-Hr. Massage, & 1/2 Hr. Facial (2 hrs) Mud Bath, Jacuzzi, Blanket Wrap, Hour Massage, & Hour Facial (3 hrs) Herbal Mineral Bath, Blanket Wrap (1 hr) (For those who do not prefer mud) Herbal Mineral Bath, Blanket Wrap & 1/2-Hour Massage (1 ½ hrs) Herbal Mineral Bath, Blanket Wrap & Hour Massage (2 hrs) Herbal Mineral Bath, Blanket Wrap, 1/2-Hr. Massage, & 1/2 Hr. Facial (2 hrs) Herbal Mineral Bath, Blanket Wrap, Hour Massage, & Hour Facial (3 hrs) European Body Wrap (2 ½ hours) (Lose 6 to 28 inches of body measurement) Hour Massage (Without Mud Bath or Mineral Bath) Hour Massage (Without Mud Bath or Mineral Bath) Mini-Facial (30 Minutes) (Without Mud Bath or Mineral Bath) Hour Facial (Without Mud Bath or Mineral Bath)

If you are booking one of our Internet Special Spa Getaway or Ultimate Getaway packages, fill out both the room and spa portions of this form and note in the box at the very end of the form that you are requesting the Spa Getaway or Ultimate Getaway package.