Moving Forward Graciously

Moving Forward Graciously

Healing Meditation with Master Del Pe
All information in this form will be used during the healing session and will be treated as CONFIDENTIAL and not be used for any other purpose without your permission.
PARTICIPANT INFORMATION
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Country of Residence
Please write down the name of the person who invited you to this event.*
INFORMATION ABOUT THE DECEASED
Name (for babies who were aborted, pls indicate father & mother's names instead)*

First Name / Father's Name (for aborted babies)Last Name/ Mother's Name (for aborted babies)
Date of Birth (for babies who were aborted, pls skip this question)

MonthDayYear
Date
Cause of Death*
Date of Death*

MonthDayYear
Date
Please tell us if there were some issues that the family had to deal with after his/her death (e.g., grief, inheritance/estate issues, debt). Also list down other diseases that the deceased had at the time of death.
Please list down the name and relationship to the deceased of other immediate family members who will be participating in the session with you.
Please upload a photo of the deceased taken close to the time of death (for aborted babies, pls put a photo of the father or mother).

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PAYMENT INFO AND LINK

Scan the QR code above using your phone camera or click here to go to our payment portal. Please fill up the fields as follows:

Amount - USD 100
Description - Moving Forward Graciously
Full Payment
Name of person who invited you

Session fee of PHP5,600.00 includes the participant, the deceased and his/her immediate family members.

Once payment has been made, please take a screenshot of the transaction slip and upload in the field below.
Please upload proof of payment here.

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Would you like to receive information about our future events?*

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