Please copy and paste this form into an email, fill it
out, and send it with any questions you may have about the consultations to ginalakenow@aol.com. Or, if you prefer, you can download
this form as a Word Document, fill it out and paste it into an email. To download this form in Word, click here.
Name:
Address:
Phone (where to call you for the
consultation):
Birth date/birth place/exact time within
10 minutes (if possible)
Occupation, interests, talents:
Where you heard about Gina:
Some dates and times when you are available for a consultation:
The type of consultation you would like:
astrological, channeled, or unsure. What
is best often depends on your questions, which Gina can help you determine. If
you are planning to have a channeled consultation, please be prepared with
questions for Theo. Type of consultation:
Goals/Why you want a consultation at
this time (use as much space as you
like):
Astrological consultations are $100 and 60-90 minutes long.
Follow-up astrology consultations are $80 and 60 minutes long.
Astrology relationship consultations are $120 and 60-90 minutes long.
Channeled consultations are $80 and 60 minutes long.
Please make checks payable to Endless Satsang Foundation
and mail to: Gina
Lake, 295 Mission Rd., Sedona,
AZ 86336.
You may also pay with PayPal or a credit card at www.endless-satsang.com at the
"donation" button on the Contact page. To go there now, click here.