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Which service did you purchase today?
Akashic Records Consultation
Reiki (Energy Therapy Session)
Who is the service for?
Are you 18 years or older?
In order to perform the Akashic Records Consultation, Life Coaching or Numerology Report, we need the following information to access the specific record in question: What is your current full name, full name at birth, date of birth and place of birth?
(If this does not apply to the service purchased, place N/A below)
IF YOU PURCHASED THE PROPERTY CLEARING SERVICE: Please provide full address of property. (If this does not apply to the service purchased, place N/A below)
I understand the results are intended for the individual receiving the service. I understand all services will be kept confidential and I am fully responsible for sharing information only intended for me to receive.
What is the best phone number to reach you if necessary?
How did you hear of our services?
Friend or Relative
Internet Search Engine
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