Full Name *

Phone *

Email *

Service * Select Service $75 Intro Rate First Session $85 Reiki Session with Chakra Balancing - 60 min $85 Distance Reiki - 60 min $105 Deep Reset - 75-90 mins

Preferred Session Date *

Preferred Time * Select Time 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM

Date of Birth

Gender Select Gender Female Male Other Prefer not to say

Birth Time / Birth Place

Payment Option Select Payment Option E-Transfer Cash Credit / Debit Card

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