Psychic Contact Email Reading- Order form

Email Reading Order Form

Thank you for choosing Psychic Contact!

Using this form, you will now be able to place your order for an Email Reading with us.
After submitting the order form, you will be directed to our certified secure web server.
All the payment information you enter at that point will be encrypted and can only be read by our advanced payment interface system. Your privacy is assured.

A psychic reading by in-depth email is a very easy, convenient and affordable way to receive a comprehensive and detailed psychic reading.
There is no need to set up an appointment and they are extremely helpful if you if are a little nervous discussing your situation or concern with a one-on-one consultation. Or plain and simple, you just don’t have the time do an online reading. You will receive a beautifully written reading shared only by you and your spiritual advisor. Not only do we offer ethical and completely confidential readings but at a reasonable price as well.
Your reading will be delivered within 24 hours.

Contact Information

Name (first, last): *
Street Address (All Address Fields- Optional)(1):
Street Address (2):
Town / City:
State/District/ Province:
Country:

Phone number (daytime- optional):
Phone number (evening- optional):
Fax number (optional):

E-Mail address (important!):

Please choose your preferred method of receiving your order

Sex: (at time of birth)
Male:
Female:

*If you prefer that your Reader know you only as your first name- check this box:

Your Date of Birth: (Very Important!)(mm/dd/yy): / /
overseas clients please put the month first

If ordering an Astrology Reading- Very Important!:The time you were born:
AM:
PM:

If ordering an Astrology Reading- Very Important!:
Your place of birth (City, State, Country,:

If ordering a Numerology Reading enter the name and\or date of birth you wish the Reading done for (usually the name on birth certificate or the name being used now):
Name:
D.O.B.:

In one or two words only, please enter the topic that concerns you the most (OPTIONAL)
(I.E.: Love, Relationship, Health, Career, $$$$, etc.):

Please select the type of Reading you would like to have from the following drop-down menu.
If you want us to assign you a Psychic\Reader based on the type of Reading you prefer, please check the button located at the right of this paragraph.
(use the info box below for all additional info or to list your questions)

Readings!

Or...

If you would like to choose your own personal Psychic, Reader, Astrologer, or Numerologist (from the list of our Readers), please check the button at the right of this window and type in their name here: (If you leave this blank, we will choose the Reader for you.)

YOUR QUESTIONS:
(if you have more than one question
Please number them from 1 to 5

PRICES

Special Instructions:

Please enter any additional information / questions here:

Payment Information

I am paying by Credit Card

I am a Repeat Client paying with Credit Card on file (If you wish to change your credit card on file to another- please follow the link that says "Repeat Clients Enter Here to Change...."

Total Cost for this Order: $

**NOTICE: Any individual who chooses to submit "Fraudulent" Credit Card or Checking Account information will be prosecuted to the full extent allowable by law.

Please click the "SEND EMAIL READING ORDER" button below to submit your order. Processing might take a few seconds. Then follow the links to the correct payment page for either Credit Card or On Line Check Payment.

Need Assistance? Write javachat@psychic-contact.com

For entertainment purposes only.
Under 18 years of age must have consent from a parent or legal guardian to utilize our services.
Not responsible for incorrect email or snailmail addresses entered on order form.
Disclaimer