APPOINTMENT FORM

Please fill in as many details below so as to help me with your appointment request. Your email address is ESSENTIAL for correspondence and when possible please provide a mobile contact number as in preference address details will be sent by text.

For those wanting an immediate appointment it is best to call Col on 07966 522696 to discuss availabilty today.

First Name

Last Name

Email (Your email address is essential!)

Mobile Number

Sexual Orientation

Age

Body Type

General Health

Approx Weight and Height

(Sensual Massage MAY not be suitable for persons over 110kg or with a BMI ( body mass index) of 35 or over or with history of heart or blood circulation problems, please ask for clarification before booking an appointment)

Please tick appropriate boxes:

 I am Male
I am Female

I would like to 'provisionally' book:

If booking for massage please allow at least an extra 15-30 minutes for each appointment for short consultation and shower

Psychosensual Massage
Single Appointment @ £155
Series of 3 Appointments @ £290

2 Hands Sensual Massage
Superior Full Body 90 min Massage @ £125
Standard 75 min Massage @ £110
Trial Sensual 75 min @ £85
2 Hands Sensual Massage with female masseur Serena ( state which massage)

4 Hands Sensual Massage (2 males)
4 Hands Intense 90 min Massage @ £255
4 Hands Standard 75 min Massage @ £225

4 Hands Sensual Massage (1 males 1 female)
4 Hands Intense 90 min Massage @ £255
4 Hands Standard 75 min Massage @ £225

Other Services
Therapeutic or Sports Massage 60 min @ £65
Private Full Day Workshop @ £POA
Private Half Day Workshop @ £POA
Psychosexual & Relationship Counselling 60 min @ £35


Please state preferred date and time


How did you hear about Massage 33?



So that we can give you the massage you want please give your motivation for booking a sensual massage: ie pleasure / curiosity / sexual performance / lack of intimacy

By completing this form you give permission for M33 to retain the data provided.