Vedic Reading Form: Appointment With Pt. Sanjay Rath
Vedic Reading Form: Appointment With Pt. Sanjay Rath
www.srath.com
Phones for Vedic Reading America601/"B53#/C31/4DD3 "=A# (ndia6011/11/45342DBC "*elhi# . rope6 044/3C3/DB1D/DEDE "FG#
Appointment *ate
(f the appointment date and time has already &een intimated 'indly ignore this ad%ice for see'ing appointment date$ & t &e s re that we need this form e%en if yo are an old client. +ife is %ery dynamic and ( ha%e calc lations to do. (f yo ha%e not recei%ed an appointment date,time$ please email -rs Sar&ani Rath Sar&aniRath)gmail.com and sar&anirath)me.com. .mail is preferred as we ha%e records to follow/ p con%ersations. (n case of an emergency$ call her mo&ile 011/1213441253
Payment method
Please pay at the we&site http6,,srath.com "lin's gi%en in right margin of frontpage in a &o7 with ta&s or an inside page for readings# 8o can directly pay at www.PayPal.com to VedicReading)SRath.com 9R please pro%ide the following information for sending an in%oice.
DO NOT send your credit card number. (t is a sec rity ris' to transmit this o%er email. :e will e/mail an in%oice to ena&le payment thro gh the net &ased on information pro%ided. :e need an email and a phone n m&er for comm nication ;ame6 Address6 Street6 =ity6 State6 >ip6 =o ntry6
;ame (nformation
Reference6 ?a%e yo had a reading with Sanjay Rath &efore@ ;ame at Airth6 ;ame changes if any with date6 Pet ;ames or other Alias6 For Vedic ; merology =alc lations6 *o not write in &o7
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Airth *ata
*ate of Airth6
*ate,-onth,8ear
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HH:MM [East/West]
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Reading Foc s
Areas of yo r life yo wish the reading to foc s on. Please indicate one or two areas to foc s on. Some possi&le areas are listed and this is not e7ha sti%e. 8o can enq ire a&o t almost anything. Area of life =hoose Area of life =hoose 1. ?ealth personality traits C. :ealth income E. Si&lings tra%els 4. ?ome property 5. =hildren spec lation B. =o rt cases litigations D. -arriage relationships 2. *eath disease 1. Parents grandparents 13. =areer$ jo& & siness 11. Friends social contacts 1C. Spirit al path spirit al teacher Any other matter yo want to mention or any other notes for o r consideration.
Please indicate the following "1# Religion or faiths in case remedial meas res are to &e prescri&ed. :o ld yo prefer sing gemstones@ ?a%e yo learnt yoga$ meditation or do yo ha%e any specific spirit al practise@ Please specify.
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8o r L estions
L estion 16
L estion C6
L estion E6
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L estion 56