ALL information must be exactly as appears on your credit card statement:
First Name:
Last Name:
Address:
City:
State/Province:
Postal Code:
Country:
Phone number:
E-mail:
YOUR DATE OF BIRTH: (Include month, day and year)
YOUR GENDER: (Male or Female)
How did you hear about Rev. Cassandra?
(If through a search engine, please let us know which one. (ie. – yahoo, excite, infoseek, etc.)
GIFT CERTIFICATE RECIPIENT:
First name of person receiving the gift certificate:
Last name of person receiving the gift certificate:
Their Address:
Their City:
Their State/Province:
Their Postal Code:
Their Country:
Their Phone number:
Their E-mail:
Their full name as appears on their birth certificate:
Their date of birth: (Include month, day and year)
Their Gender: (Male or Female)
MY FEES FOR PSYCHIC READINGS:
Email Reading
$75.00 USD
Readings by Telephone, Chat Room, AIM, ICQ, or Yahoo Messenger:
30 Minute Reading – $90.00 USD
45 Minute Reading – $135.00 USD
60 Minute Reading – $180.00 USD
Readings In Person:
30 Minute Reading – $125.00 USD
60 Minute Reading – $225.00 USD
* Do you know how the person would like the reading? (If not then don’t worry as my administrator will be contacting them anyway.)
Email:
Telephone:
Private Chat: (Java script)
Yahoo Messenger:
ICQ:
AIM:
In Person: (Rev. Cassandra is in San Diego, California)
OTHER SERVICES:
* Spiritual Healing:
$550.00 USD (By phone or in person) $450.00 USD (Long distance)
* ReConnect with THEIR Angels: (only via telephone or in person)
$175.00 USD
* Karmic Lessons: (email only)
$85.00 USD
OCCASION FOR GIFT CERTIFICATE:
Birthday Gift
Special Gift
Wedding Gift
Anniversary Gift
Baby Shower Gift
Baby’s Birth
Holiday Gift (Which holiday?)
Other (My administrator, MariaSuzonne, will email you for more details.)
* Comments:
* Why did you choose Rev. Cassandra?:
* Since a portion of my income goes to charity I felt it would be nice to offer you a choice of charities.
Child Abuse
Domestic Violence
AIDS/HIV Hospice
All of the above
Any of the above
Thank you and many blessings to you and yours! You will be receiving an email invoice immediately.
And soon you will receive an email from my administrator.
The Amount: USD ( Include decimal point and 2 digits for cents)
IMPORTANT PLEASE READ: Once you “Click here for secure payment form” you will be taken to the next page. There you will be asked for your credit card number and your “Card Code”. If you do not know what a ‘Card Code’ is, please
Click here for futher explanation.