Glen Ivy One Day Spa Getaway
REGISTRATION FORM

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 relaxing day at nature's day spa!

Check, money order, Visa, Mastercard and Discover accepted