Serene Therapeutic Solutions4 Babies

Infant Massage Inquiry/Scheduling Form

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Give the benefits of infant massage to yourself or someone you know. You can purchase gift certificate for infant massage classes to give to that new or established set of parents/caregivers of an infant or toddler. Private classes are $80.00 in the office or $90.00 in their home with one baby or $85.00 with three to five babies for group lessons.

If you need help in any way please e-mail us your questions with a phone number and/or e-mail address and we will be in contact with you after processing your request. (Monday thru Friday only).

E-mail us at Serene Therapeutic Solutions or call 314-438-8474.

Sender's Information:

Enter your Name:
Enter your Street Address:
Enter your City:
Enter your State: Enter your Zipcode:

Type of payment:
Please mail cash in the form of a money order or cashier's check to Serene Therapeutic Solutions 14220 Old Halls Ferry Rd, Suite 102,Florissant, MO 63034 or call 314-438-8474 to pay in person.
Cash
Credit Card

This is NOT a secure site credit card information may be phoned to our office 314-438-8474
Check one credit card:
MasterCard
VISA

Are you purchasing one set of private classes ( 4 classes per session)?
Are you purchasing one set of group classes ( 4 classes per session per baby)? Check all that apply:

Private Class $80.00
 Private Class & Transportation Fee $90.00
 Group Class $80.00
 Group Class & Transportation Fee $85.00

Recipient Information if you want gift card sent:

Enter Name:
Enter Street Address:
Enter City:
Enter State: Enter Zipcode:
or Enter email address:

Thank you for your interest in Serene Therapeutic Solutions! Click to submit form:

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© 2004 Patricia Carroll