Clairvoyant Reading Order Form at A Psychic Haven, Clairvoyant Advisor Melissa Alvarez

FOURTEEN YEARS ON THE WEB

READING REQUEST ORDER FORM

In addition to ordering your reading I must have this completed Reading Request Form sent to me before I can actually do the reading for you. It doesn't matter what order you do these in as long as this form is sent and payment is made.

FILL OUT THE READING REQUEST FORM BELOW

To order a reading please read then complete the reading request form below. The content of this form is e mailed directly to Melissa. After you submit the reading request form, verify that your information is correct, then click Return To Form or your browser's back button. When you're back on this page, scroll to the bottom and click the appropriate PayPal button to make your payment.

Enter your First Name:

Enter your Last Name:

Male/Female? (Only necessary so I can give you a more accurate reading if your name could be either - ex. Max could be Maxine or Maxwell)

Enter your date of birth (month, day and year).

Where did you hear about Melissa?

You must be 18 years of age to order a reading.

With ALL of my readings, I do not set a time limit for the length of the reading, I do not set a word limit on my response and I do not charge per minute. I give readings in as much detail as possible and tell you everything that I'm seeing regardless of how long it takes to do it or how much I have to type. Since I've upgraded to the shopping cart for the majority of the site you no longer have to tell me which reading you've ordered. Just fill in the information below and you'll all set.

QUESTION SECTION:

Enter any information that is pertinent to your reading(s) in the space provided below. This would be where you would ask your specific questions, tell me your dream or psychic phenomena or include any other information that you would like to submit regarding the reading that you ordered. If you're making payment via money order, check etc you can put it in this area as well instead of emailing me separately. And please remember I will not read someone else for you. I'll only read for you.

In order to deliver your reading via email please enter your valid email address in the space provided. Make sure your email address is valid as you will still be charged if the email address doesn't work and your reading has been completed.

E-mail address:

Alternate E-mail:

By typing my full name in the electronic signature box I am agreeing that I am the person requesting the reading with Melissa Alvarez and I am verifying that I understand, am agreeing to, and will be legally bound by the terms and conditions of the DISCLAIMER, RELEASE & CONFIDENTIALITY READING REQUEST FORM detailed within this form and that I am authorized by law to use the credit card that I will submit via PayPal for the purchase of a reading from Melissa Alvarez.

ELECTRONIC SIGNATURE (must be your legal name including your first and last name. I can't read for you if you only put your first name):

TODAY'S DATE:

The account I'm using at PayPal is under a different name than my legal name. I'm paying with the account named: If your PayPal account is in your name just type "It's in my name." in the space.

Make sure you've completed the form accurately, then press only once - it may take up to 20 seconds for this form to process! Then hit return to form or your back button when the next page appears to purchase your reading. Scroll down to STEP TWO below and add the reading(s) you're ordering to the cart. Then click view cart to check out. If you do not fill out the form completely and accurately it will only delay your reading.

NOW SUBMIT THIS READING REQUEST FORM TO MELISSA BY CLICKING THE BUTTON BELOW

I have had a LOT of payments come through lately where I don't receive the questions. Please make sure you click the gray button above that says Submit Your Reading Request. Skipping this step only delays your reading. If you're having problems with this form, please let me know.

Melissa writes Paranormal Romantic Suspense as Ariana Dupré. Click the banner for more info!