|
| *Your
Name |
|
| *Name
of Payer through PayPal |
|
|
If you wish to give a reading as a gift, enter the information above, enter their
name here and have them contact me
I
WILL NOT do a reading for any person who does not personally request it from me.
|
| |
|
If you want information about
aspects of your relationship with another, whether it involves romance, business,
or any other realm, please be aware that I will ONLY give you information that
pertains to you, not to them. |
|
| *Full
name of the person for whom the reading is being done |
| | *Age |
|
| *Date
of Birth |
|
| Time
of Birth, if known |
|
| Place
of Birth |
| | *Sex:
female
male
transgender |
| For
$30, you will receive a reading for up to three questions:
|
| Question
1:
*What
is the realm of question 1? (i.e. love, health, finances, career, etc.)
*What
is your question? |
| Question
2:
What is the realm of question 2? (i.e. love, health, finances, career,
etc.)
What
is your question? |
| Question
3:
What is the realm of question 3? (i.e. love, health, finances, career,
etc.)
What
is your question? |
| *Your
email address for the answers. |
| | *
indicates
these answers are required to process the form* |
| I will email
answers to your questions within 48 hours of receiving confirmation of payment
and this form. |