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Reading Order Form

First Name:
Gender:
Date of birth:

(You must be at least 18 years old
to receive a reading.)
Month
 Day
,		 Year
Email Address:
Your question:

(Please make sure you already read the
Phrasing Your Question section.)
Additional information:

Any other information or details you feel will be helpful for me to know. I do not consider myself a psychic, but rather a Tarot counselor, and the more information you provide, the more specific I can be in interpreting the cards.
I agree to the following statement:

"I understand that I am responsible for the choices I make and the direction my life takes and that a Tarot reading is for entertainment purposes only."

Illustrations from the Rider-Waite Tarot Deck reproduced by permission of U.S. Games Systems, Inc., Stamford, CT 06902 USA. Copyright 1971 by U.S. Games Systems, Inc. Further reproduction prohibited. The Rider-Waite Tarot Deck is a registered trademark of U.S. Games Systems, Inc.