N.C. Kelling Psychic Consultant: Information / Order Form

Information / Order Form

Please send more information regarding:
Workshops Lectures Readings Public Speaking
Sponsoring Organization:
Location:
Date(s):
Additional Comments:

To request a written psychic reading:
	$50.00 for One Page
	$85.00 for Two Pages
To request a psychic phone reading:
	$40.00 for 15 Minutes
	$75.00 for 30 Minutes

To receive information or place an order for a psychic consultation, please supply the following information (fields marked in bold are required):

Name:

Email:

Address:

City:

State: Postal Code:

Country:

Phone:

Written readings, appointment times for phone consultations and direct dial phone number will be provided via e-mail. Pre-payment with USA check or money order is required. Send payment to:

N.C. Kelling
5001 Taylor Rd., # 4
Mc Farland, WI 53558

Directions for submitting questions for a written consultation.

Fill out your name and e-mail address in the blanks above.
Enter questions in blanks below. If the question concerns you enter 'self' for name, and 'N/A' for non-applicable, for relationship. If the question pertains to an employer, spouse, etc., enter their first name and their relationship to you.
Fewer questions than the allotted number will allow for more detail on requested questions and/or extemporary information not posed in question form. If you have fewer questions than allotted, mark "self" and "ex" for extemporary information in remaining question boxes allotted.
Questions should be brief and specific.
When you have completed the form, click the [Submit Consultation Request] button below.

First Name:

Relationship:

Question #1:

First Name:

Relationship:

Question #2:

First Name:

Relationship:

Question #3:

First Name:

Relationship:

Question #4:

First Name:

Relationship:

Question #5:

End of Section for "One Page Written Readings"

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10.

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