Reading Session Order Form

Name:

Contact Email address:

Timezone:

Length of Session Options:

Appointment Hour Options First Choice:

Day of Week, First Choice Options:

Reading Session Venue Options:

Payment Venue Options:

World Clock

World Meeting Planner

Reading Session Order Form:

Type of Reading Session:

(By appointment only)

Day of Week, Second Choice Options:

Terms of Agreement * (Please read Terms of Agreement before submitting form)

Transaction - Confirmation Number

Appointment Hour Options Second Choice:

Special note or accomodation request:

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Month Date

Month Date

Oct13baby