ALL information must be exactly as appears on your credit card statement
and is kept in the strictest of privacy :
Your First Name:
Your Last Name:
Your Address:
Your City:
Your State/Province:
Your Postal Code:
Your Country:
Your Phone number:
Your E-mail:
Your Date of Birth (mm/dd/yyyy):
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.)
A portion of the fee you pay goes to charity. I felt it would be nice if you choose where that is portion donated.
Child Abuse
Domestic Violence
AIDS/HIV Hospice
Animal Rescue
All of the above
Any of the above
GIFT CERTIFICATE RECIPIENT(S):
If you don’t know some of the information below; then we shall ask them.
FIRST PERSON
First person’s first & last name:
First person’s Gender: (Male or Female)
First person’s Address:
First person’s City:
First person’s State/Province:
First person’s Postal Code:
First person’s Country:
First person’s Phone number:
First person’s E-mail:
First person’s date of birth (mm/dd/yyyy):
First person’s full name as appears on their birth certificate:
SECOND PERSON (if applicable):
Second person’s first & last name:
Second person’s Gender: (Male or Female)
Second person’s Address:
Second person’s City:
Second person’s State/Province:
Second person’s Postal Code:
Second person’s Country:
Second person’s Phone number:
Second person’s E-mail:
Second person’s date of birth (mm/dd/yyyy):
Second person’s full name as appears on their birth certificate:
MY FEES FOR PSYCHIC READINGS PER PERSON:
Email Reading
$75.00 USD
Readings by Telephone, Chat Room, AIM, Skype , 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
MY FEES FOR PSYCHIC READINGS PER COUPLE: (wedding or anniversary gift certificates)
Email Reading
$115.00 USD
Readings by Telephone, Chat Room, AIM, Skype , ICQ, or Yahoo Messenger:
30 Minute Reading – $135.00 USD
45 Minute Reading – $205.00 USD
60 Minute Reading – $270.00 USD
Readings In Person:
30 Minute Reading – $190.00 USD
60 Minute Reading – $340.00 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)
Skype :
Yahoo Messenger:
ICQ:
AIM:
In Person: (Rev. Cassandra is in San Diego, California)
OTHER SERVICES:
* Spiritual Healing:
$550.00 USD (By phone, Skype , or in person) $450.00 USD (Long distance)
* ReConnect with THEIR Angels: (only via telephone, Skype , 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?:
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:
By checking the box and submitting, you are stating “I agree. I have read and I accept A Circle of Light’s Terms of Service (TOS) “.
I accept: