Mind, Body and Soul Alignment by Jo Rose

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Order Form

Excellent, let’s get you started by opening up your world.

Order Form

Please complete each box accurately so that I am best prepared for our call.

Full Birth Name (Required) - as it reads on your birth certificate or adoption papers

Current Name (Required) - as you would introduce yourself daily, this is often your first and last name, although some use a shortened version and many married ladies take their husband's name e.g. Jo Rose - my first name has been shortened and Rose is my married name

Date of birth (Required) - day, month, year - MUST be in this order

Your Email (required)

Telephone

Skype

What service are you interested in? Reading / Coaching / Retreat?

What do you hope to understand from this Reading / Coaching / Retreat?

Additional notes you wish to share with regards to the above answers

I look forward to receiving this Form and will be in touch within 48 hours or less with payment details. On receipt, we will confirm a mutually agreeable date and time for your reading.

Sending you positive vibrations and clarity from this point forward.

With much warmth from my soul to yours

Jo Rose

Jo Rose

Numerology

Relationships

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