Take 5 Quick Response Form
for
Corporate &Workplace Programs

Please fill out the Take 5 Quick Response form to receive a reply within 24 hours Monday - Friday.

Company Name:
Your Name:
Street Address:
City:	State:
Zip Code:
Phone (with area code):
Fax (with area code):
Email Address:
How did you here about us?
Approximate Number of Recipients:
Number of Minutes Preferred for Each Session (if known):
Date(s) & Time(s) For Seated Massage (if known):
Are you interested in: A one time event An ongoing program A seasonal program
Main Purpose for Seated Massage: Reduce Stress & Absenteeism Boost Morale & Productivity Employee Reward & Recognition Wellness in the Workplace Office Party/Special Event Open House/Marketing Event

Contact Take 5 today. Call 407.896.6740 or fill out the Quick-Response Form
for a reply within 24 hours Monday-Friday.

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