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Hello fellow Healer! I am so excited to give away these 100 FREE HEAL Reiki and Intuitive Reading Spots (each an $88 Value.)

Please fill out the form below. Then I will contact you to setup your FREE appointment!

Remember, this information will be shared on my website indefinitely after your session! (I know business names shift and change. If you have a reasonable request later requiring an update, please let me know.)

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* 1. Your name

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* 2. Your Business name (optional but preferred. Enter N/A if needed.)

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* 3. Location or Area Served (example: Somerset, Pa)

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* 4. Email

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* 5. Phone number

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* 6. Brief description of healing service(s). Remember this will be added on my website for all to see!

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* 7. I am emailing my photo to holisticnursetiffany@gmail.com (include your name in the subject line.)

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* 8. Preferred appointment day

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* 9. Preferred time slot(s)

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