Name *
Name
(Please mention any 2 date options)
(Please note we currently offer our pamper day outs to a maximum of 5 people only)
Are we celebrating anything special on this day?
Special pacakges
Mom to be Bride to be New Moms Christmas special Mom and me Anniversary special: some description Birthday special: some description Say a Thank you
On your pamper "ME" day your style statement would be- *
You would like your pamper day to be- *
(You can choose more than 1 option)
How fitness crazy are you? *
You can select maximum 2 options
Gifts that I would love to get on my special pamper day are- *
Please select a maximum of 3 options
I think my dream "ME" day deserves to be worth- (prices are for per person) *
Please select only one option. This is a per person cost
I would like to go all out and make it an extravagant day by adding a chauffeur pick up and drop service- *
Please note that most of our packages are based in and around the city centre. Chauffeur services are charged in addition to the total package cost.
Thank you for your details. Please click the submit button once you have completed the form.
Disclaimer- Please note that all the information provided by you will remain confidential and will be used by "This Pampered Life" to plan your dream "ME" day only. All information will be secured and will not be reproduced in any other form whatsoever.

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