Psychic Contact

Chat Session Order Form

Thank you for choosing Psychic Contact!

Using this form, you will now be able to place your order for a Chat Session Reading, or if you prefer- order our Special Chat Session Plus, which includes a Pre-Sent Email Reading sent to you before your chat - (usually 24hrs in advance).

If you are seeking a specific type of metaphysical Chat Reading-click here:

Special Metaphysical Chat Readings

Otherwise the Reader will use their discretion in choosing the Medium they work with for your Reading.
Please continue to fill out the form below

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.

If ordering an Email, SnailMail or Fax Reading only (no Chat Session)
Click here:
"Email" Readings.

Pay for a Mini Chat Reading via your Phone Bill-

Contact Information

Chat Sessions:

Enter the name you wish to be known as during your Chat Session: This will be your log-on name and you may choose any "name" you like: (a first name by itself is acceptable)

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

Sex:
Male:
Female:

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

Choosing Your Reader:

If you want us to choose the Psychic\Reader for your session- please check the button located at the right of this paragraph.
...or...
NOTE: DURING YOUR CHAT, YOU MAY ASK QUESTIONS REGARDLESS OF THE SESSION LENGTH\TYPE OF READING YOU ARE ORDERING.

If you would like to choose your own personal Psychic Reader (from the list of our Readers)- please check the button at the right of this window and type in their name(s) here:
We suggest requesting two different Readers in case one is currently not available.

Second Choice:

(If you leave these two field's blank, we will choose the Reader for you.)

When requesting a Reader by their name, please be aware that most of them work on an appointment only basis, with 24 to 36 hours notice required. Make sure you check their bio for their appointment info. If you want your Chat Session Reading right away- its best not to request a specific Reader- instead let us choose one for you to ensure your session will be set up quickly.

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

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
Second Choice
Please choose a time that is at least 30mins AFTER your first choice
Third Choice
Please choose a different day for this choice!

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...."

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:


Email Readings