Please complete all of the information below in as much detail as possible. Please insure the accuracy of your date and year of birth. This information, along with the correct spelling of your given name on your birth certificate will allow us to have a truly meaningful session.
Next, please go to the lower portion of this form to the section that says:
HALGORITHM OFFER (Select One Below)
This is where you will select the offer you want and by your checking box with the offer you will then hit the
Which will take you immediately into a PayPal Form where you can pay by the Credit Card of your choice, or by PayPal. If you have any problems completing this form, please email me at firstname.lastname@example.org.