Tele-Reading Application

Tele-Reading APPLICATION

Tele-Reading APPLICATION
Kevin Ryerson & COMPANY
Phone 415-356-9887 / FAX 415-267-6939 / E Mail office@kryerson.com

Name(Mr./Ms./Miss/Mrs.)_______________________________________________

Date Of Birth:___________________Country of Birth:_________________________

Phone (Day):_____________________Evening:_____________________________

E Mail:_____________________________________________________________

Fax/Cell:____________________________________________________________

Address:____________________________________________________________

City:_______________________State/Country______________Zip_____________

Today’s Date:__________________________Amount Enclosed: ________________ __________________________________________________________________
FOR CREDIT CARD PAYMENT ONLY

[ ] AMERICAN EXPRESS [ ] MASTERCARD [ ] VISA

#_________________________________________________________________

EXPIRATION DATE: ______ SIGNATURE: ________________________________
__________________________________________________________________

Questions: Please formulate your personal inquires very carefully. When asking questions concerning other individuals, have their full names and birth dates available. Your own questions can be on any matter of concern to you, so long as they do not invade another’s privacy. The questions should be clear and as specific as possible. The more specific your question, the more specific your response. This clarity will allow Spirit to provide you with optimum information. Review all information in your confirmation letter before your session.

Payment: The full payment is required with this application. The Fee is $ 275, and includes a preparation tape. The fastest way to book an appointment is to pay by credit card and fax your completed application, etc., to Kevin Ryerson & COMPANY at 415-267-6939. We accept Visa, Mastercard or American Express and money orders.

Refunds: There are no refunds and the appointment is nontransferable due to the limited availability and the specialized nature of these sessions.

Information Contained in the Reading: To maintain the confidentiality of the reading, in style, content and substance, all information remains the copyright property of Kevin Ryerson.

ALL APPLICANTS MUST SIGN BELOW

(If applicant is under 18 years of age, parent or guardian must sign. Please state relationship to applicant.)

SIGNATURE:________________________________________________________
I understand that any information given in this reading is offered only for it's suggestive and informative value. I agree to accept full responsibility for the practical application of the information provided.