Print Order Form for Intuitive Readings

Please enter the following information for your mail in reading.
All items in red are required.

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Full Name:
Name at Birth:
Date of Birth:
Sex:
E-mail Address:
Additional helpful information will be for my use only. Your privacy is guaranteed. It will allow me to send you a card when I am traveling near your area and announce the publication of my book. Telephone numbers will only be used if I cannot reach you by e-mail to deliver the answer to your question.
Telephone
Mailing Address
City, State
Zip
Country
Optional Questions: These questions are for my information only. I'm interested in knowing about the people who visit my site.
Occupation:
Marital Status:
Education:
Have you ever had a paranormal experience? Please describe:
Question 1
Question 2
Question 3
Other Comments
One Question $25 Two Questions $45 Three Questions $65 In-person Reading One hour session - $125 Over the phone One hour session - $130 (includes tape and mailing fee)	Please send money order and Mail to: Charlene Ryan P.O. Box 33 Manchester, WA 98353 USA 360-440-2690

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