acuity Block
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BOOKING FORM

PLEASE COMPLETE THE FIELDS BELOW IN ORDER TO CONFIRM YOUR REQUESTED APPOINTMENT.     A FORMAL CONFIRMATION WILL BE EMAILED TO YOU BY RETURN.

Name *
Name
Date *
Date
Insert the Date & Time of the appointment you would like to book.
Time *
Time
If you have any additional requests or requirements, please note them below.
Terms & Conditions *
Please tick to confirm acceptance of our booking terms
Use the drop down to select if you are paying a deposit or making full payment as agreed in advance with your Practitioner.
  • Once you have submitted your booking form, please click the GO TO PAYPAL button (below) to make your deposit/payment.
  • Send your payment to "info@susanemma.com"
  • Your appointment will be held for 24 hours after which time the time slot will automatically be released and made available to other clients. 
Please Select Here