Order Form for
Lessons
YOUR NAME:
TYPE OF LESSONS YOU
WANT (PSYCHIC OR MAGIC):
YOUR EMAIL ADDRESS:
YOUR STREET ADDRESS:
YOUR CITY AND STATE:
YOUR ZIP CODE:
(this is where your lessons will be
sent)
YOUR FULL BIRTHDAY:
(month,day,year)
CREDIT/DEBIT CARD OR
PAYPAL OR REGISTERED
PRE-PAID CARD* ACCEPTED:
*REGISTERED PRE-PAID MEANS THE
COMPANY YOUR CARD IS WITH HAS
YOUR NAME & ADDRESS
DOUBLE CHECK YOUR
ADDRESS YOU GAVE ABOVE
TO MAKE SURE YOUR
LESSONS GO TO THE RIGHT
PLACE-
GIVE YOUR E-MAIL AGAIN:
Click the submit
button to process this
form...(DONATE $30.00
AFTER CLICKING THIS
BUTTON)