The Skeptical Psychic - Private Reading Contact Form
The Skeptical Psychic - Nancy du Tertre - "Trust and Verify"
PRIVATE READING CONTACT INFORMATION FORM
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Please Select One:
Name
Mailing Address
Billing Address (if different):
How Did You Hear About Nancy?
Daytime Telephone:
Night Time Telephone:
Email Address:
Skype Name (if available)
Preferred Method of Contact for Reading
Type of Reading Requested:
Psychic/Remote Viewing
Mediumship
Psychic Detective
Medical Intuitive/Energy Healing
Paranormal Investigative
Unsure
Preferred Date for Your Reading (if Possible):
Preferred Time for Your Reading (if possible):
Hours
 
 : 
Minutes
 
Yes, I Have Made My Online Payment for:
 
 
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