Free Sample Requesting Form

All fields are requested. Please fill out your full details. (*) is strongly requested fields.

Email Address:*
Spa Name:*
Company's Name:*
Address:*
City:*
State:*
Country:*
Zip Code:*
Tel:*
Fax:*
Spa Manager:*
Website URL 1:
Website URL 2:
 
  
Category of Spa
Fitness Spa Cruise Spa Day Spa
Destination Spa Medical Spa Mineral Springs
Spa Resort/Hotel Spa Ayurvedic Spa
Others (please specify)
  
Accommodation
On-site Accommodation Provided Price Range/ Room Rates (US$):
  
Operating Space
50-100 sqm. 101-500 sqm. 501-1000 sqm.
More than 1000 sqm.
   
Staffs in all position
2-10  11-20 21-30
31-40 41-50 More than 50
   
Treatment Room
Treatment Room: (please state in number)
Outdoor Bale/Pavilion: 
Villa:
Other (please specify):
   
Treatment (indicate type available)
Beauty Treatment
Eye Treatment Facial Hair Salon
Makeup Manicure/Pedicure Skin Whitening
Waxing
   
Body Scrubs/Exfoliators
Balinese Boreh Clay Scrub Herbal Scrub
Javanese Lulur Loofah Scrub Sea Salt Scrub
  
Body Treatment
Bust Treatment Cellulite Treatment Firming/Toning
Slimming/Contouring
   
Body Wraps
Clay Herbal Hot Oil
Mud Salt Seaweed
   
Hydrotherapy
Affusion Aqua medic Pool Balneotheraphy 
Douche au Jet Jacuzzi Kneipp Bath
Mineral Spring  Plunge Pools Sauna
Steam Room Thalassotheraphy Vichy Shower
Whirlpool
   
Massage
Acupressure Aromatherapy Ayurvedic
Balinese European Lomi-lomi
Lymphatic Sport Swedish
Thai
   
Cuisine
Alcohol Served Casual Dining Fine Dining
Organic Spa Cuisine Spa Guest Only
Vegetarian
   
Programmes
Adventure Behavior Modification Lectures Workshops
Luxury Pampering Medical Nutrition Diet
Stop Smoking Stress Management Weight Management
   
Relaxation
Chi Gung Flotation Meditation
Tai Chi Visualization Yoga
   
Sports
Aerobics Bicycle Riding Fitness Assessment 
Golf Gymnasium Mountain/Wall Climbing
Nature Walks Squash Tennis
Water Sports Weight Trainings
   
Alternative Therapist
Acupuncture Ayurvedic Treatment Bach Flower Cures
Colonic Chiropractic Cranio-Sacral Therapy
Homeotherapy Iridology Kinesiology
Light Treatment Mud Therapies Naturopathy
Pilates Body Conditioning Psychotheraphy Rebirthing
Reiki Rolfing Ultrasound
Others (please specify)
   
Products Used 
Product 1: (type brands)
Product 2:
Product 3:
   
Other Comments*
Please fill in your DHL Account Number for Freight Collect ( Collect to Reciever ) :*
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Thai Heritage Spa Group of Companies
1124/5-7 Thai Heritage Spa Building, Soi Ladprao 2, Phaholyothin Rd.,
Jomphol, Jatuchak, Bangkok 10900 Thailand
Tel. 662 5137279 Fax. 662 5139240
E-mail: thaispa3@sarah-org.com www.thaiheritagespa.com
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