Donation Request Form

Five Senses Spa, Salon & Barbershop believes in giving back to the communities we serve through our donations program. As you can imagine, we receive a large number of donation requests, and therefore we have set parameters to better manage our donations budget in the following manner:

Current Loyal Guests and Occasional Guests will be considered for a stand-alone donation gift certificate. Casual Guests will be offered a Matching Donation option in which case we will consider matching product and/or gift certificate purchase with one of our donation gift certificates. Requestors that do not frequent Five Senses Spa, Salon & Barbershop will be encouraged to support our business before we consider any donation requests.

Please complete the form below and your request will be evaluated by one of our Donations Specialists. Any short-notice donations may not be considered. Donation gift certificates do have restrictions, can not be redeemed for cash and must be used for the services specified.

Required *

  Current Loyal Guest (8+ visits p/year) Occasional Guest (4 to 7 visits p/year) Casual Guest (1 to 3 visits p/year) Not a Guest (0 visits p/year)
Hair Services
Nail Services
Facial Services
Waxing Services

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  1st Time Event Annual Event (2nd-3rd year) Annual Event (4th-5th year) Anual Event (6th+ Year) N/A

  50-99 People 100-299 People 300+ People Unsure
Estimated Attendees

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How will Five Senses Spa, Salon & Barbershop’s involvement be promoted? *

  Yes No Not Available
Press Release
Media Mentions
Marketing Materials

Should I be granted a donation of any kind, I understand that it is my organizations responsibility to communicate that the donation certificate valid for one year for use Monday - Wednesday only. Certificate is not valid during various holiday time periods, please inquire. Certificate is not redeemable for cash, no refunds will be given and is non-transferable. Five Senses is not responsible for lost or stolen certificates.

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