Appointment Form

Appointment Request Form
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Are you a new client?

YesNo
Best time of day to reach you?
Best method for contacting you?
How do you prefer to meet?

PhoneZoomFaceTime
A separate invoice will be sent to you after your session reflecting the time spent. Please choose from the following options:

Mini Session: Ask AMAG - 15 minutes - $75Consultation with Dayana - one hour - $150Trance Session: Consultation with AMAG - half hour - $150Trance Session: Consultation with AMAG - 1 hour - $300
Please specify the month, day, and time you wish an appointment.
Should be Empty:

Appointment Request Form