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ABOUT US 336
SERVICES
Massage Therapy
Business/Event Services
Couples Services
Girls Night In Packages
THE RELAXATION CLUB
NC'S 1ST SPA ON WHEELS
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Couples private chef services
Name
Email Address
Contact Number
Returning Client?
Yes
No
Meal Options?
- Select -
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Dinner Options? (couple must have same entree)(OPTIONAL)
Surf and Turf
Stuffed Pineapple (Chicken)
Stuffed Pineapple (Shrimp)
Hibachi Action Station
Salmon and Shrimp
Vegan Hibachi
Vegan Fried Chicken
Vegan Steak
Brunch Options? (couple must have same entree)(OPTIONAL)
Brunch 1: Chicken & Waffles, Quiche, freshly cut fruit, and mimosas
Brunch 2: Shrimp & Grits, Quiche, freshly cut fruit, and Mimosas
Brunch 3: Omelet Bar, Grits, freshly cut fruit, and Mimosas
Dessert Options? Dinner Only (Couples must have same dessert)
Banana Pudding Parfait
Strawberry Shortcake Parfait
Fudge Brownie ala Mode
Fruit and Yogurt Parfait
Vegan Brownie Ala Mode
Vegan Banana Pudding Parfait
Delivery Option?
- Select -
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Service Address?
Apt #, City, Zip Code
Please identify your address type
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Service Date? (24 Hour Notice Required)
Preferred time for service?
10:00am
11:00am
12:00pm
1:00pm
2:00pm
3:00pm
4:00pm
5:00pm
6:00pm
7:00pm
Alternative date/time for service?
10:00am
11:00am
12:00pm
1:00pm
2:00pm
3:00pm
4:00pm
5:00pm
6:00pm
7:00pm
Parking or Special Instructions upon arrival?(OPTIONAL)
How did you hear about Pamper Us Mobile?
Additional Information/Comments?(OPTIONAL)
Preferred time for service?
10:00am
11:00am
12:00pm
1:00pm
2:00pm
3:00pm
4:00pm
5:00pm
6:00pm
7:00pm
Service Area?(OPTIONAL)
- Select -
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Gender Preference?(OPTIONAL)
Will you be utilizing Afterpay?
Yes
No
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