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Feng Shui |
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Souls
Purpose Consultation Form The following
information will be necessary to complete your Souls
Purpose
Consultation. You may print this form and
fax it to us at (877) 376-8737 or copy, paste and email it to us at
marge@artofplacement.com
We accept MasterCard and Visa. Please be prepared to give us your credit
card information when we call to schedule your appointment. Make a copy of
this form and send the following information to the address below.
If you have any questions please feel free to call us toll free at: (877)
372 -8737. Wind & Water, Inc Client Name (as it appears on your
credit card): Street Address: City:
State:
Zip: Email: Phone #: Best time to reach you:
Date of birth:
Place of birth: Time
of birth: am/pm
Goals & Objectives:
Life Issues:
Cancellation and Refund Policy: The client will be notified by email or
phone of the consultation date and time. It
is the responsibility of the client to call (877) 372-8737 for the consultation
at the date and time stated in the email. If
the client does not call for the consultation and does not cancel by email to candace@artofplacement.com
a least 24 hours prior to the consultation they will be charged $50.00.
There are NO refunds once the service has been provided. Disclaimer: The
information provided in the consultation is the opinion of the practitioner.
The practitioner is not licensed or certified. It is the client’s
choice to act or not act on the opinions of the practitioner.
The practitioner is not responsible for the decisions of the client and
the outcome of those decisions. This
consultation is not a substitute for any type of
professional advice including, without limitation, psychiatric, medical,
financial, legal advice. Always seek the advice of an appropriate professional
and never disregard professional advice or delay in seeking it because of
content on this consultation. No representation, warranty, or guarantee has been
made to me as to the results of this consultation, which results may be
different that what I expect. Indemnity: You
agree to defend, indemnify and hold harmless Wind & Water, officers,
directors, employees, agents, licensors, and suppliers from and against all
claims, actions or demands, liabilities settlements, including, without
limitation, reasonable legal accounting fees, arising in connection with this
consultation or resulting from, or alleged to result from, your use of the
information in the consultation or your violation of this Agreement. I have read and agree to the above. _______________________________
______________
Agreed
Date
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