Private Reading Contact Form

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PRIVATE READING CONTACT INFORMATION FORM IMPORTANT: This form does not work with Autofill or any other automatic form completion softwares. Please do not let your computer automatically fill in any information for you. Thank you!

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

Preferred Date for Your Reading (if Possible):

Preferred Time for Your Reading (if possible):

Yes, I Have Made My Online Payment for:

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Thank you! Your information has been submitted successfully. Make sure you have also made payment. Then send any relevant questions and/or photos to [email protected] and,once received, Nancy will contact you to set up a mutually agreeable reading date and time.