402.432.4221   |   
contact us
 
If you would like more information or a quote regarding our services, just fill out this short form below.
 

Please fill out the form as thoroughly as you can. If you do not know all of the information, enter what you know, and we will contact you to discuss how we may best be able to serve your needs. You may also call 402-432-4221, or 402-432-0223 which is our On Call phone number.

 
Name
Title
Company
Address
Telephone #
Email Address
Request (Chair or Corporate Massage, Self Care, Info)
Frequency (One time, weekly, monthly, etc...)
# of People
Desired Time
Location
Date Requested (Date of first visit)

Other Details:


The Massage Clinic Therapy Network
1804 St. Andrew’s Place ~ Lincoln, NE 68512
(402) 432-4221
On Call - (402) 432-0223