Intuitive Readings Form
After you submit this form, click on the readings link to pay for your reading.
Name (print your full name as it appears on your birth certificate. If married, use most recent married last name. If you have no middle name, put NMN)
For a Past Life Relationship reading, please provide the full name of the second person, as it appears on their birth certificate, or current last name if married.
Yes, subscribe me to this newsletter.
Street Address Line 2
State / Province
Postal / Zip Code
Select type of reading (a new form must be completed for each reading)
Past Life Relationship
Choose your preferred format
CD via mail
MP3 via dropbox
Both CD and MP3
Write up to 7 questions you would like answered in your reading.
Should be Empty:
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