" The Mystic Wave's "
Order Form

 

Filling out the form below
will send e-mail directly to me!
What is your name? 

What is your address? 
Street

City

State                                                                                                   Zip Code
  
Country

What is your e-mail address? 

What is your birthdate? 

Types of Readings available, please select below: 

Please specify your area of concern: 

Please select your reading spread or interest (Includes Price List): 

Note for "Dream Interpretation"
To be able to choose the correct pricing for the Dream Interpretation please send an E-Mail describing your dream. By return E-Mail I will inform you about the price.

 

Please type in your specific question for the reading: 

What Gemstone/Crystal would you like to have? 
(I offer a FREE gemstone/crystal with each reading.)
1st Choice:  

2nd Choice: 

Please select the type of Candle Magic that is of interest to you: 

What's your favorite color? 
Red  Blue  Green  Purple  Black  Yellow  Pink 

Any other comments or suggestions? 

 

How would you like to pay?   


Click here to pay via PayPal   Make payments with PayPal - it's fast, free and secure!


Please be sure to include your full e-mail address along with your payment
as I will notify you by e-mail as soon as your payment has been received.

            

Free Email Forms from Bravenet.com

If you have any questions please feel free to contact me by E-Mail


Copyright © 2000-2009 by "The Mystic Wave"
- All Rights Reserved -

Copyright Info

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Cancer266@aol.com aka Carmen


Last update
09/27/2009