Astrology Consultation with Lee
PAYMENT FORM
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What type of session would you like to book?
BIRTH CHART INTRO - $180
CYCLES (follow-up consultation) - $150
CYCLES, birthday booking - $120
How soon would you like your session to be?
As soon as possible
Within the next two weeks
Within the next month or two
Within a week before of after my birthday (special pricing for CYCLES)
When is your birthday?
Please select your payment method.
*
Venmo (send to @lee-saville-iksic after completing this form)
Credit Card (via PayPal)
Please select the type of session for which you are paying.
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BIRTH CHART INTRO
$
180
CYCLES
$
150
CYCLES, birthday booking
$
120
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