Request a Session or Service Form

2022 Private Group or Service Form

Please note that response time may be within 3 to 7 business days or longer from the date of your submission for a response. Either my Assistant Lisa or I will contact you to discuss your needs and provide a quotation and available dates and times for your service. Thank you. www.mediumlaurenrobbins.com or www.lauren-bortolami.com.
Have you Read and Agreed to Lauren's Terms & Conditions Page about her No-Refund Policy? *
Are You a New or Existing Client?*
How Did You Hear About Lauren? Facebook, Google, etc/
Your Full Name*

First NameLast Name
E-mail*
example@example.com
US Cell Phone Number (for texting purposes)*

Area CodePhone Number
For Remote Sessions What is your Time Zone?*
Service Type you Are Requesting?*

Private Bereavement Medium Connection Group Booking - For 4 people minimum to 10 people maximum to connect to loved ones you lost. Each person will receive a message. Held in Lauren's office, via Zoom, or locally if available.Private Psychic/Medium Demonstration Group Booking. For 10 or more people. Not all guests will receive a reading. Held in Lauren's office, via Zoom, or locally if available.Paranormal Investigation via Zoom or locally in Massachusetts if available.
Estimated Number of Guests? Note 4 People are Required for Private Bereavement and Medium Group Event Requests. *
How Would you Like the Service Conducted? Mark all that apply.*

In Lauren's Office in Mansfield, MALocally, within 20 miles from Mansfield, MA for Groups of 10 and UpZoom EST
If You are Requesting Lauren to Travel, please provide your City and State
Is there anything else you would like to add? Please refrain from leaving any personal details of why you are booking a service/session, i.e. who passed away, etc. Thank you.
Please double check your email address and phone number before hitting the submit button below. If you live outside of the US, Lisa will contact you via email. Thank you for your interest in my work and I'll talk to you soon. xoxo Lauren Robbins
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2022 Private Group or Service Form