maxshane.com

SWEDISH & SPORTS MASSAGE - DEEP TISSUE, MEDICAL & MYOFASCIAL THERAPY

My office hours are as follow:

Monday 8:00am - 9:00pm
Tuesday 10:00am - 5:00pm
Wednesday - 8:00am - 9:00pm
Thursday 10:00am - 5:00pm
Friday 8:00am - 6:00pm
Saturday 8:00am - 5:00pm

One hour session in my office is $80.00

to schedule an appointment, please fill the following form.

First Name:

Last Name:

E-mail:

Phone # where you can be reached:

Please choose 3 possible dates and time you would like to schedule a massage for, by order of preference.

Please select method of payment, or you may pay by cash, personal check, or money order at the time of your vist.

Amount to be charged:
Card Type:	VISA	MasterCard	AMX	Discover
Number:
Expiration Date:	Month Year
Name: (as it appears on credit card)
Address: (as it appears on credit card statement)
City:
State:	Zip:

Money orders or checks payable to Max Shane are also accepted.