House 12 Confessions -  Payment - Confirmation 
Please submit your payment details so we can verify and confirm your slot. You’ll receive a confirmation on email/WhatsApp after verification.

Use the same email & phone here and on Razor pay so we can verify your slot.
💡 This covers your special 30-minute face-to-face consultation. INR 3000 (all inclusive).
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Full Name *
Phone (WhatsApp Preferred) *
Use the same number for payment
Email  *
Use the same email for payment
Preferred Session Date/Time *
How did you hear about us? *
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Notes
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