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Cancellation List form - Willa White.com
CANCELLATIONS ARE RARE. To be added to the Cancellation call list, please use this form. Fill in ALL of the info on the form correctly.
Doublecheck the spelling of your Email address
. The function of this form is ONLY to request placement on the cancellation list. All other scheduling inquiries must be submitted using the Scheduling Request form.
* Indicates required question
Email
*
Your email
Name (first and last)
*
Your answer
Phone number
*
Your answer
This is a CANCEL LIST ONLY! To book an actual session, use the 'Appointment Request' FORM. Do you understand this is NOT the Appointment Request form?
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Yes, I understand this is a Cancellation List only, and there will be no response to this form
What SERVICE are you requesting? Choose one option
*
Mediumship Reading 1:1
Teaching Consultation 1:1
Combo session 1:1 (available as 45 or 60 min session only)
Family mediumship reading (and I have reviewed the requirements and policies)
Spiritual assessment 1:1
Required
What type of session do you wish to have? Choose ONE only:
*
In-person at Lily Dale
Zoom
Phone
Required
How long of a session are you looking for? Choose one
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30 minute
45 minute
60 minute
Required
What time zone are you located in? I read from 10:00 a.m. to 3:00 p.m. Eastern Time USA. No evenings.
Your answer
Exact Date(s) you are interested for Cancellation Call List (examples: July 6, August 12 -25, only Friday mornings in June, anytime in May)
*
Your answer
Cancellations rarely happen, so do not wait. Have you filled out the Appointment Request form? It is the ONLY way to book your session with Willa. PLEASE NOTE: Willa's summer Season is fully booked - keep in mind that Zoom sessions are a GREAT option!
*
Yes
No
Required
Send me a copy of my responses.
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