Financial Hardship Application
We do our best to accommodate your financial challenges and strive to provide services to those who are struggling.

IMPORTANT NOTE: please keep in mind that this application is no assurance of working with Blanca, as she has limited availability to accommodate all requests. You may be put on a waiting-list.  
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Email *
Name *
Today's date *
What's your age range? *
What is your current monthly income? *
What is your job title? *
Why are you unable to pay the full fee for healing and coaching with Blanca. Explain your financial situation better. *
What fee are you able to contribute toward a coaching/healing session? *
Something you want us to know *
By checking this box, you're taking an oath of honesty and standing by the truth of the information given.
Please note: you don't want to create negative karma that comes from dishonesty or deceit. So please make sure the information here is TRUTHFUL.
In order to keep you updated, you need to confirm that I can add your email to my email list (see my privacy policy here: *
A copy of your responses will be emailed to the address you provided.
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