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Request for Time Evaluation Reading
Please print, fill out and mail with payment to:

Leo Jean
270 Rockyspring Circle NW, Calgary, AB T3G 6A2 CANADA

Please sign your name on the line below (Your vibration is required for the reading):    

I hereby give Leo Jean my permission to do a reading based on my signature and I agree to the format of the reading to determine the amount of time required for a private session or sessions with him:

______________________________________________________________________________________________
YOUR SIGNATURE

______________________________________________________________________________________________
NAME

______________________________________________________________________________________________
ADDRESS

______________________________________________________________________________________________
CITY, STATE, ZIP, COUNTRY

OR FOR RETURN VIA EMAIL ONLY:

______________________________________________________________________________________________
EMAIL ADDRESS

BRIEFLY DESCRIBE WHY YOU WANT TO SEE MR. JEAN:

______________________________________________________________________________________________

______________________________________________________________________________________________

PAYMENT METHOD

Fee: $200.00 (Non-refundable) Note: Funds must be in Canadian dollars

1. International Money order  (Please make payable to: Leo Jean) or
2. PayPal. Please email for instructions on how to expedite your request by using PayPal and by sending this form by fax.
Note: U.S. Postal Money Orders are not accepted, as they are non-negotiable in Canada.

Once your request is received, please allow 72 hours for all email replies and 10 days for replies via the Postal Service. For international mail, please allow 1 to 2 weeks by postal mail. If you include your email address, you will receive a complimentary copy of our ebook: To Know Yourself is to Know Your Spirit! with your reading. This introduction to my work will help you to prepare for your visit.

Revised March 1, 2008

Thank you!