<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%><% reading1=Request.Form("reading") %><% payment =Request.Form("payment") %> KarenTallKatConley.com | Code of Ethics | Psychic Healer, Ordained Minister, Reiki Master

Request a Reading

"The Gift of Mental power comes from God, Divine Being, and, if we concentrate
our minds on that truth,we become in tune with this great power."
~ Nicola Tesla




Reading Request
<% if payment = "check" then %>
<% end if %> <% if payment = "cc" then %> $80 Phone Reading <% end if %> <% if reading1 = "150" then %> $150 Phone Reading 1 Hour <% end if %> <% if reading1 = "45" then %> $45 Email Reading Two Questions <% end if %>"> <% end if %> Please fill out the following form to help us match up the best possible opening, with your availability. Please note that a $10.00 fee will apply to all appointment cancellations, and that refunds will not be given for appointments cancelled within three days or your scheduled appointment time.

Type of Reading you requested
<% if reading1 = "80" then %> $80 Phone Reading <% end if %> <% if reading1 = "150" then %> $150 Phone Reading 1 HR <% end if %> <% if reading1 = "45" then %> $45 Email Reading Two Questions <% end if %> .
First Name
Last Name
Address
City 
State
Zip Code
Daytime Phone
Area Code
Email Address
On what weekday would you like to schedule an appointment?
What time frame do you anticipate being available for your appt.?
Payment Type

<% if payment = "cc" then %> Credit Card <% end if %> <% if payment = "check" then %> Check/Money Order <% end if %>

<% if payment ="check" then %><% if reading1="45" then %>Please enter your two questions here:<% end if %><% if reading1="25" then %>Please enter your question here:<% end if %>

<% end if %><% if payment ="check" then %> <% end if %>

By submitting this form you acknowledge that you have read Tallkat's reading techniques and agree to be bound by them.

<% if payment ="check" then %>
Since you are Paying by check or money order please send a check for $<%Response.Write (reading1)%>.00 to:
PO Box 207
Eagar, AZ 85925
<% end if %>

 

 

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