Hire LE Therapy for your Special Event!   Request Form Company Name: Contact Name & Title: Billing Address: Email: Phone: Fax: Event Location(s) (where work will be performed) (Type of Event) Number of Employees/Persons at your location: Single or Recurring Event: Day(s) and Hour(s) of Single or Recurring Event: Are you interested in having Chair Massage at your Event as well? If so, Number of Massage Therapist(s) Requested Do you have gender preference of Massage Therapist, if so please indicate: Duration of Each Massage Please include any specific needs or additional information, comments or questions here: