Hello,

If you have been a client of NTM for at least 30 days and you'd like to apply for VIP Gold Member Status, please fill out the form below. Please keep in mind that I only grant Gold Member Status to a few clients per year and only to those who I am very comfortable with. Please don't take it personally if I turn down your request, I may just need more time to get to know you or all the available slots may have been filled. I will email you once I review your request.

Please Note!

Before you fill out this form please understand that I DO NOT honor cash for massage services listed on my VIP Gold Member page. Please visit my VIP Gold Member page for more information before requesting VGM status.

First Name:
Email Address:
How Often Do You Visit NTM For Massages:
Are You A Local Resident:
Do You Understand That I Do Not Honor Cash For VGM Listed Services:
Are You Willing To Send Items To My Mailing Address:
How Long Have You Been A Client of NTM:
I have many clients with the same first name. Is there anything you'd like to share with me to help me remember who you are? Please keep in mind that all information is kept confidential:
Please indicate which VIP Gold Member Service You Are Interested In:
To call in your VIP GM request, please dial (641) 715-3900 Ext. 71218. You still must fill out this form. If you do not complete this form, your request will be denied. Please add an X in this box if you called in your request and filled out this form: