Registration

Register to Win! Free Juliet Facial Valued at $75 * Required
* Name:
* Address:
* City:
* State:
* Zip:
* Phone:
* Email:
Birthdate:
Anniversary:
How did you hear about us? (Check all that apply)	Internet Newspaper Word of Mouth Mailer TV Radio
How often do you visit?	Weekly Monthly 3-4 times per Year Twice per Year Yearly
What is your favorite spa or salon service?
Must be 18 or older to register
If you are not interested in receiving special promotions

1631 NE Douglas St.
Lee's Summit, MO 64086
816.554.4SPA (4772)

Register to Win!