INTUITIVE REPORTS
DREAMS

Past Life Profile Request

 
Request a Past Life Profile ..... Request for you to print, fill out, and return to us (see below)

Name ___________________________________________________________________________
Please type/print as on birth certificate. Females who have married use most recent husband's last name.
Address ________________________________________________________________________
Street number and name or Route/Box number

_________________________________________________________________________
City / State / Postal Code / Country
Phone Number ___________________________ email ____________________________
Occupation _________________________________ Birthdate ________________________________
Are you currently a SOM student? _______ SOMA member? _________ Would you like information on these?
Signature (of person requesting reading) _________________________________________________
If you have questions or specific concerns please write these on the back of this sheet.
List in order of importance. If your questions exceed five please call us.
Requested minimum donation for this type of Intuitive Report is $80. Your generosity is greatly appreciated for it enables us to further our work. One hundred percent of monies received are used for expansion of SOM teachings and research.
 Form of Payment (circle one):
Check/Money Order (payable to School of Metaphysics) Visa Mastercard Discover
Amount Enclosed: $___________________
Visa/MC Number: ______________________________________________ Expiration Date: ______________________
Signature of Cardholder: ____________________________________________________

Please send completed form with indicated form of payment to:
School of Metaphysics
World Headquarters
163 Moon Valley Road
Windyville, Missouri 65783 USA
*International orders please add $15.00 for return priority mail.

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