Phone order reservation confirmation - thank you!

Please confirm the information you provided us when we were on the phone together making your phone order reservation at Le Petite Retreat day spa. Fill out the form, read our spa policy terms and conditions below and click the "I Accept/Send" button. All fields below are required.

If you would prefer to fax your reservation confirmation, please click here for our print-friendly PDF form. Print the form, fill out clearly, sign and fax back to 323.462.4008. By faxing this form, you are agreeing to our terms and conditions.

Your Account Information

First Name:	Credit Card Type:
Last Name:	Expiration Date:
Billing Address	Authorized Charged Amount:
City	Last 4 Digits of Credit Card:
State	Card Verification Code (CVC):
Zip Code
Phone:	Name of person(s) this purchase is for:
Email Address:

Thank you very much for your phone-purchased advance reservation at Le Petite Retreat day spa, Los Angeles' most personalized boutique spa that encourages all to "Feel The Experience".

I fully accept all terms and conditions listed above (www.lprdayspa.com/spa-policies/index.html). I understand if I need to cancel my appointment, I must do so at least 24 hours in advance to have a 100% spa credit, as the spa does not provide refunds on advanced phone purchased reservations, services or retail purchases.

Spam Prevention Code
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