Please fill out the form below. You will be contacted within 24-48 hours with an appointment time. Or if you prefer you may download our .pdf form and fax the information to Rina.

It is necessary that you download the wavier to be able to proceed with an appointment. Please bring a signed copy of the waiver at the time of your appointment. Fields with a * are mandatory.

Please Note: upon submission of this form you will be asked to submit a $100 non-refundable payment to secure an appointment time. You will have the choice of making an online payment or mailing it in.

*Name:    
Home address:    
City    
Prov/State    
Country    
Postal/Zip    
Home Phone:    
Cell Phone:    
*Email:    
       
Please list 4-6 people who play (Or played) an important part in your life. Please write their names and the part they play in your life.
       
These are the questions that I want to ask my 'council'
or my guide if I meet them in my session:
     
   

 

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Thank you so much! The Life between Lives session with you was a Life change experience!I have learnt so much about myself. I know how to lead my life from now on according to the mission that I 'signed on' in the time between lives. I have met my spirit guide and my 'teachers' in the realm of spirits. I am definitely going to be a better person now, because I know better! You were so professional in the way you lead the session, I cannot thank you enough!~Mat