Phone Order 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 Los Angeles. Please fill out the form, reading our spa policy terms and conditions below and clicking the "I Accept" button. All fields below are required.

If faxing, please print off form, fill out, sign and fax back your reservation confirmation to (323) 462-4008.

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/). 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.


Signature Date