Corporate Wellness Events Interest Form

Thank you for your interest in our corporate wellness services! Please fill out the form below, and a member of our team will get back to you to discuss your needs and how we can support your organization's wellness goals.

Contact Information

First name

Last name

Email

Phone

Company name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Event Details

Type of Event (e.g., retreat, workshop, seminar):

Preferred Date(s):

Event Location:

Number of Participants:

Duration of Event:

Service(s) Interested In (check all that apply)

On-Site Massage Retreats

Sound Bowl Sessions

Healing Circles

Speaking Engagements on Diversity and Inclusion

Other

Additional Information

Budget Range:

Special Requests or Requirements:

How did you hear about us?:

Internet Search

Referral from a friend or family member

Social media (e. g. Facebook, Instagram)

Yelp or other online review sites

Healthcare provider recommendation

Walked by our location

None of these

Amazon Wishlist

(734) 315-0099

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