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＊pukalani＊Private Session Application
1 情報入力
2 内容確認
3 完了
For inquiries and application for the private session, please enter the following information. You will be contacted within 24-48 hours.
If you don't receive any reply within a few days, please be aware email from us may be classified as spam or promotion. If you cannot find any replies there, please contact me once again to let me know you haven't received any reply.
Name
required
Gender
required
Female
Male
TransGender
Email
required
confirm e-mail
Phone
required
-
-
First time to contact ＊pukalani＊?
required
No, contacted within three months
No, contacted within one year
No, contacted more than a year ago
Yes, this is the first time
Reason to Contact
required
Appointment Inquiry- Private Session (in person)
Appointment Inquiry- Private Session (distance)
Questions
Other
Services you are interested in
required
You can choose more than one option, if you want to take combination session
Tuning Fork Session
Total Session
Total Session 6-week Intensive
Quantum-Touch
Head Clearing
Spine Clearing
Others
Sound Session
Please let me know your best interest at present
SoulPhysio☆Awakening
CELLebration☆
Mineral☆Detoxing
Planetary☆Awareness
528☆MIracle (short session)
Solfeggio☆Shower (short session)
Others
複数回答可
Self-Investment Amount
Please enter arbitrary amount as self-investment amount and energy exchange
(Those who are under consideration please OK, please write your budget)
yen
Face-to-face sessions from 22,000 yen
Distance session is from 20,000 yen
Self-Investment Amount (6week intensive sessions)
t
Please enter arbitrary amount as self-investment amount and energy exchange
(Those who are under consideration please OK, please write your budget)
yen
If you want to include face-to-face sessions, rate starts from 100,000 yen
If you want only distance sessions rate starts from 90,000 yen
Usage of Tuning Forks
Yes, difinitely want tuning forks to be used!
No, it doesn't matter whether tuning forks are to be used or not
No, I would rather be interested in other than tuning forks
Session Intention / Contents of your Inquiries
required
Describe objectives: Preventative Maintenance, Physical pain/illness, Emotional, Belief System, Mental Attitude, etc. Please include rating(1=minor, 10=major) for each item.
Date you prefer (1st option)
required
thu 2017.7.6
fri 2017.7.7
sat 2017.7.8
sun 2017.7.9
mon 2017.7.10
tue 2017.7.11
wed 2017.7.12
thu 2017.7.13
fri 2017.7.14
sat 2017.7.15
sun 2017.7.16
mon 2017.7.17
wed 2017.7.18
thu 2017.7.19
fri 2017.7.20
wed 2017.7.21
wed 2017.7.22
thu 2017.7.23
fri 2017.7.24
sat 2017.7.25
sun 2017.7.26
mon 2017.7.27
wed 2017.7.28
wed 2017.7.29
thu 2017.7.30
fri 2017.7.31
sat 2017.8.1
sun 2017.8.2
mon 2017.8.3
wed 2017.8.4
wed 2017.8.5
thu 2017.8.6
fri 2017.8.7
sat 2017.8.8
sun 2017.8.9
mon 2017.8.10
wed 2017.8.11
wed 2017.8.12
thu 2017.8.13
fri 2017.8.14
sat 2017.8.15
sun 2017.8.16
mon 2017.8.17
wed 2017.8.18
wed 2017.8.19
thu 2017.8.20
fri 2017.8.21
sat 2017.8.22
sun 2017.8.23
mon 2017.8.24
wed 2017.8.25
wed 2017.8.26
thu 2017.8.27
fri 2017.8.28
sat 2017.8.29
sun 2017.8.30
mon 2017.8.31
wed 2017.9.1
wed 2017.9.2
thu 2017.9.3
fri 2017.9.4
sat 2017.9.5
sun 2017.9.6
mon 2017.9.7
wed 2017.9.8
wed 2017.9.9
thu 2017.9.10
fri 2017.9.11
sat 2017.9.12
10:00-
10:30-
11:00-
13:00-
13:30-
14:00-
14:30-
15:00-
15:30-
16:00-
16:30-
17:00-
17:30-
18:00-
18:30-
19:00-
19:30-
20:30-(遠隔のみ)
21:00-(遠隔のみ)
22:00-(遠隔のみ)
23:00-(遠隔のみ)
何時でもOK
Date you prefer (2nd option)
thu 2017.7.6
fri 2017.7.7
sat 2017.7.8
sun 2017.7.9
mon 2017.7.10
tue 2017.7.11
wed 2017.7.12
thu 2017.7.13
fri 2017.7.14
sat 2017.7.15
sun 2017.7.16
mon 2017.7.17
wed 2017.7.18
thu 2017.7.19
fri 2017.7.20
wed 2017.7.21
wed 2017.7.22
thu 2017.7.23
fri 2017.7.24
sat 2017.7.25
sun 2017.7.26
mon 2017.7.27
wed 2017.7.28
wed 2017.7.29
thu 2017.7.30
fri 2017.7.31
sat 2017.8.1
sun 2017.8.2
mon 2017.8.3
wed 2017.8.4
wed 2017.8.5
thu 2017.8.6
fri 2017.8.7
sat 2017.8.8
sun 2017.8.9
mon 2017.8.10
wed 2017.8.11
wed 2017.8.12
thu 2017.8.13
fri 2017.8.14
sat 2017.8.15
sun 2017.8.16
mon 2017.8.17
wed 2017.8.18
wed 2017.8.19
thu 2017.8.20
fri 2017.8.21
sat 2017.8.22
sun 2017.8.23
mon 2017.8.24
wed 2017.8.25
wed 2017.8.26
thu 2017.8.27
fri 2017.8.28
sat 2017.8.29
sun 2017.8.30
mon 2017.8.31
wed 2017.9.1
wed 2017.9.2
thu 2017.9.3
fri 2017.9.4
sat 2017.9.5
sun 2017.9.6
mon 2017.9.7
wed 2017.9.8
wed 2017.9.9
thu 2017.9.10
fri 2017.9.11
sat 2017.9.12
10:00-
10:30-
11:00-
13:00-
13:30-
14:00-
14:30-
15:00-
15:30-
16:00-
16:30-
17:00-
17:30-
18:00-
18:30-
19:00-
19:30-
20:30-(遠隔のみ)
21:00-(遠隔のみ)
22:00-(遠隔のみ)
23:00-(遠隔のみ)
何時でもOK
Date you prefer (3rd option)
thu 2017.7.6
fri 2017.7.7
sat 2017.7.8
sun 2017.7.9
mon 2017.7.10
tue 2017.7.11
wed 2017.7.12
thu 2017.7.13
fri 2017.7.14
sat 2017.7.15
sun 2017.7.16
mon 2017.7.17
wed 2017.7.18
thu 2017.7.19
fri 2017.7.20
wed 2017.7.21
wed 2017.7.22
thu 2017.7.23
fri 2017.7.24
sat 2017.7.25
sun 2017.7.26
mon 2017.7.27
wed 2017.7.28
wed 2017.7.29
thu 2017.7.30
fri 2017.7.31
sat 2017.8.1
sun 2017.8.2
mon 2017.8.3
wed 2017.8.4
wed 2017.8.5
thu 2017.8.6
fri 2017.8.7
sat 2017.8.8
sun 2017.8.9
mon 2017.8.10
wed 2017.8.11
wed 2017.8.12
thu 2017.8.13
fri 2017.8.14
sat 2017.8.15
sun 2017.8.16
mon 2017.8.17
wed 2017.8.18
wed 2017.8.19
thu 2017.8.20
fri 2017.8.21
sat 2017.8.22
sun 2017.8.23
mon 2017.8.24
wed 2017.8.25
wed 2017.8.26
thu 2017.8.27
fri 2017.8.28
sat 2017.8.29
sun 2017.8.30
mon 2017.8.31
wed 2017.9.1
wed 2017.9.2
thu 2017.9.3
fri 2017.9.4
sat 2017.9.5
sun 2017.9.6
mon 2017.9.7
wed 2017.9.8
wed 2017.9.9
thu 2017.9.10
fri 2017.9.11
sat 2017.9.12
10:00-
10:30-
11:00-
13:00-
13:30-
14:00-
14:30-
15:00-
15:30-
16:00-
16:30-
17:00-
17:30-
18:00-
18:30-
19:00-
19:30-
20:30-(遠隔のみ)
21:00-(遠隔のみ)
22:00-(遠隔のみ)
23:00-(遠隔のみ)
何時でもOK
Birth Data
Please provide birth date, time and place, if you like.
☆For those who want distance session, birth date is required.
For those who want Awakening Reading Session, birth time and place are also required.
Your Location
required
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住所検索
都道府県
東京都
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市区町村
町名番地等
※Enter zip code and press button. No furtehr details needed.
※If you live outside Japan, please entery zip-code and Country instead of detailed street adress.
Experience of taking healing/body/energy/spiritual sessions
Quantum-Touch
Reiki
Cranio Sacral
Polarity Therapy
Rolfing
BodyTalk
Integrated Healing
Source Point Therapy
Aroma Therapy
Aura Soma
Flower Essences
Hypno Therapy
Channeling
Others
Your Practices
Quantum-Touch
Reiki
Cranio Sacral
Polarity Therapy
Rolfing
BodyTalk
Integrated Healing
Souce Point
Aroma Therapy
Aura Soma
Flower Essences
Hypno Therapy
Channeling
Others
How you find this site
search on "tuning forks"
search on "Quantum-Touch"
search on "Awakenin' Touch"
search on "BodyTalk"
search on "Source Point"
search on "Integrated Healing"
search on "solfeggio"
search on "528Hz"
blog "bohemian notes"
Light & Colors WEBSHOP
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