Application for Remote Healing
Thank you for your interest. Please submit application form and you will be contacted by the spiritual healing practitioner for reservation shortly.
Name
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Your country
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Email address
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* Please make sure you entered your email address correctly before you submit the application. We are experiencing that our reply message failed to be delivered to applicants due to incorrect email address entered by applicants.
Phone number
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Birthday(DD/MM/YY)
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Option for Healing Session
required
１session US$ 80.00
３sessions US$220.00
５sessions US$360.00
Reason for taking the healing session(s) / Request / Etc.
Disclaimer
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I have read and agreed to the terms and conditions of the Disclaimer set out on this web-site.
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