Nomination Program | Shanti Massage & Healing Arts

Nomination Program

Shanti Massage and Healing Arts wants to help you recognize deserving people in the community who, due to some financial or extenuating circumstances, might not otherwise be able to access the benefits of massage therapy.

To nominate someone you think deserves a free month of service (two massage treatments), fill out the form below. Entries may also be submitted via regular mail.

Entries are limited to the first ten submissions and do not roll over to the following month. Entries that are not chosen may be resubmitted.

Entries will be reviewed and awarded monthly, and will be accepted until the 15th of the preceding month (for example, July 15th through August 15th to be awarded in September).

Nominate A Deserving Person Form

All fields are required.

Your Name

Your Email

Your Phone

Your Address 1

Your Address 2

City

State

Zip

Do you wish to remain anonymous to the nominee?
 Yes No

Have you nominated this person before?
 Yes No

Have you nominated anyone else before?
 Yes No

About the Person Being Nominated:

Nominee's name

Nominee's phone

Nominee's email

Nominee's address 1

Nominee's address 2

City

State

Zip

Best way to reach the nominee:
 Phone Email Mail

Best time to reach the nominee:

Why is this person deserving of a month of free massage?
(limited to 600 characters).

captcha

Please enter the letters from the above image: