CUSTOMER CARE

Request for TARA Information

Please fill out the following form and a Sales Representative will contact you.
(* indicates required field)

*Required fields have an asterisk (*)

* Completed By:	Date: Sunday, May 11, 2008
* Your Email Address:
Spa Information:
* Spa Name:	New Current
* Address:
Address (cont.):
* City:	* State:
* ZIP Code:	* Phone: Fax:
Website/URL:

* Spa Director:
* Phone:	* Email:

* Retail Manager:
* Phone:	* Email:

Other Key Personnel: Lead Therapist/Spa Services/Front Desk Supervisor)
Name:	Title:
Phone:	Email:

Name:	Title:
Phone:	Email:

Day Spa Destination Spa Hotel/Resort Other (retail boutique):
Retail Area (sq. ft.): # Massage Rooms: # Wet Rooms: # Hydrotubs:
# Couples Rooms: # Facial Rooms: # Staff: MST Aestheticians:
Retail: Front Desk/Res: How did they hear about us?
Other Vendors Carried:

TARA treatments on menu:
1.)
2.)
3.)
4.)
5.)

Treatments interested in adding:
1.)
2.)
3.)
4.)
5.)

Sales Dollars:
Last Year:
YTD:

Information to be sent and Professional/Retail interest:

	Pro	Ret		Pro	Ret		Pro	Ret
Large Packet			Bath Therapy			Healthy Seasons
Small Packet			Herbal Ease			Wellness Solutions
Ayurveda			Skin Therapy			Education Catalog/Fees
Dosha Balancing			Sun Therapy			Equipment
Aromatherapy			Other

Questions/Comments:

Placing Orders and Product Information: 1-866-224-1391 FAX (309) 734-2544
Shipping, Delivery and Return Information: 1-866-224-1391 FAX (309) 734-2544