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
     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:
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.


    
If you have any problem with the next page, please let us know.
Contact my administrator, MariaSuzonne

Please make sure that you read and understand our policies.