
		Corporate Appointment Scheduling

		Request for Services

		Massage Therapist Bios

Request for Services

Please fill out the form and click the button to send a request for services to Health Enhancment Company. Required fields are noted with a star (*).

If you would like to schedule a Corporate Massage appointment, click here.

Service:
Event/Class Name:
Date of Event/Class:
Hours of Event/Class:
# Eligable Participants:
# of Therapists Requested:
Company Information
Company Name:
* Contact Name:
Contact Title:
* Phone #:
Fax #:
* Email Address:
Billing Address:
Billing City:
Billing State:
Billing Zip:
Event Company Information
Event Company:
Contact at event site name:
Contact Title:
Phone:
Fax:
* Email Address:
Address:
City:
State:
Zip:
	NOTE: THE HEC REQUIRES A 48 HOUR CANCELLATION NOTICE FOR ALL CONFIRMED CORPORATE PROGRAMS OR FULL PROGRAM FEE WILL BE CHARGED, PROGRAMS RESCHEDULED LESS THAN 48 HOURS IN ADVANCE WILL BE CHARGED A 20% RESCHEDULING FEE. PAYMENT FOR SERVICE RENDERED REQUIRED 30 DAYS FROM DATE OF INVOICE. NET 60 DAYS WILL RESULT IN A 5% FEE, NET 90 DAYS IN A 10% FEE AND OVER 90 DAYS THE CREDIT CARD WILL BE CHARGED.

Company Information