NOTE: Some of our Readers offer a pre-sent synopsis of your Reading before the chat session- (Our "Chat Session Plus" Reading) If you are requesting this type of Reading be sure to add in the extra fee as specified in the drop down box and select all of the following that apply:
I am ordering a pre-sent synopsis of my Reading: I am NOT ordering a pre-sent synopsis of my Reading:
Please choose your preferred method of receiving your pre-sent synopsis Email Fax (please include your FAX # above) SnailMail (please include your mailing address above)
In one or two words only, please enter the topic that concerns you the most (OPTIONAL) (I.E.: Love, Relationship, Health, Career, $$$$, etc.): IF ORDERING THE 24.95\20mins SESSION- ONE TOPIC or QUESTION ONLY PLEASE!
Schedule Information
Please specify, in order of preference, the time when you would like to have your reading. If your first choice is not available, we will use your 2nd or 3rd choice. Please keep in mind that all times shown are in the North American Eastern Time Zone .Make sure you convert your time zone to Eastern before selecting your choices.
If you are not sure how to convert time zones, please tell us which zone you are in:
We strongly suggest that your second choice in session times be between 45 and 90 minutes later than your first choice , and that your third choice be on a different day from choices 1 and 2. This will ensure receiving your Reading in a timely manner.
If you are choosing the Reader yourself- be aware that your session time choices may not be the actual time your Reading takes place- We first have to check the Reader's availability.
First Choice January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 SUN MON TUES WEDS THURS FRI SAT 2002 2003 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 AM PM Second Choice Please choose a time that is at least 30mins AFTER your first choiceJanuary February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 SUN MON TUES WEDS THURS FRI SAT 2002 2003 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 AM PM Third Choice Please choose a different day for this choice! January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 SUN MON TUES WEDS THURS FRI SAT 2002 2003 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 AM PM
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...."
I am paying by Money Order (Money Order must be received before Reading is given) If paying by Money Order: Please print or copy this order form, fill in all necessary information and mail it along with your payment to:
Psychic Contact 4876-118 Princess Anne Rd. # 122 Virginia Beach, VA. 23462
Total Cost for this Order: $
New Clients: Please answer the following: (OPTIONAL)
How did you discover the Psychic Contact Web Site? Search Engine Which Search Engine- if you remember:
"Psychic Web Ring"
Banner ad- NOT found at "Psychic Web Ring"
Magazine or Newspaper ad
Word of Mouth or Other
Have you used any other web site's services for your Psychic Readings?
Yes
No
Were they satisfactory? Yes
No
How did you discover the other website(s)?"Psychic Web Ring"
Banner ad- NOT found at "Psychic Web Ring"
Magazine or Newspaper ad
Word of Mouth or Other
Names of other web sites you have had Readings from:
Thank you!
**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 CHAT SESSION 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 orders@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 Ordering an Email Reading but not a Chat Reading? Click Here: