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Holistic/Alternative Healing Booking Form
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First Name
Last Name
Email
*
Phone
Age
Type Of Healing
Type Of Healing
Emotional problems healing
Addictions including smoking healing
Animals and pets with health problems healing
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time Slot
8:00 AM - 8:45 AM
9:00 AM - 9:45 AM
10:00 AM - 10:45 AM
Time Slot
8:00 AM - 8:45 AM
9 AM - 9:45 AM
10:00 AM - 10:45 AM
11:00 AM - 11:45 AM
12:00 PM - 12:45 PM
Time Slot
8:00 AM - 8:45 AM
9 AM - 9:45 AM
10:00 AM - 10:45 AM
11:00 AM - 11:45 AM
12:00 AM - 12:45 AM
1:00 PM - 1:45 PM
5:00 PM - 5:45 PM
6:00 PM - 6:45 PM
7:00 AM - 7:45 PM
Time Slot
8:00 AM - 8:45 AM
9 AM - 9:45 AM
10:00 AM - 10:45 AM
11:00 AM - 11:45 AM
12:00 AM - 12:45 AM
1:00 PM - 1:45 PM
6:00 PM - 6:45 PM
7:00 PM - 7:45 PM
Time Slot
8:00 AM - 8:45 AM
9 AM - 9:45 AM
10:00 AM - 10:45 AM
11:00 AM - 11:45 AM
12:00 AM - 12:45 AM
1:00 PM - 1:45 PM
Time Slot
4:00 PM - 4:45 PM
5:00 PM - 5:45 PM
6:00 PM - 6:45 PM
7:00 PM - 7:45 PM
Time Slot
4:00 PM - 4:45 PM
5:00 PM - 5:45 PM
6:00 PM - 6:45 PM
Type Of Healing
*
Individual in person Healing $99
Distant healing session $99- 35-35minutes
Pet Healing -$67 - 25-30 minutes
Multiple sessions of 3 or more booked at same time available at a 25% discount
Address
Select Payment Method
*
Select Payment Method
Pay With Paypal
Pay WIth Stripe
Stripe Credit Card
Card
Name on Card
Submit
