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| Salutation |
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| First Name* |
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| Last Name* |
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| Phone Number |
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| Email Address* |
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| Yes, I'd like to receive exclusive Halekulani Newsletters, Promotions and Events |
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| Are you staying at the hotel? |
Yes
No |
| Preferred Date |
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| Secondary Date |
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| Preferred Time |
Morning
Afternoon
Evening |
| Massage/Body Work |
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| Skin Care |
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| Facial and Body Waxing Services |
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| Body Treatments |
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| Spa Rituals |
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| Hair Care |
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| Cuts & Style |
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| Enhancements |
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| Nail Care |
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| Gel Polish |
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| Gentlemen's Choice |
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| Additionals |
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| Do you have a therapist preference? |
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| Requests, Comments or Questions |
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