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Tele-Reading APPLICATION |
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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
[ ] Discover Card [ ] MASTERCARD [ ] VISA
CARD #: _________________________________________________________________
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 email before your session.
Payment:The full payment is required with this application. The Fee is $275. The fastest way to book an appointment is to pay by credit card and fax your completed application, etc., to Kevin Ryerson & COMPANY at 206-781-4489. We accept Visa, Mastercard or Discover Card 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.