Glen Ivy One Day Spa Getaway
REGISTRATION FORM

July 26, 2008 

Complete and mail or fax with your deposit to register. 4610 Cliff Breeze Dr. N. Las Vegas, NV. 89081 Fax: 702-642-2570

 Name: ______________________________________

Address: _____________________________________

City/ST/Zip: ________________________________

Telephone: _________________________________

Cell Phone: _________________________________

Email: ____________________________________

Enjoy a day at nature's day spa!

Check, money order, Visa, Mastercard and Discover accepted