www.talktotheanimals.co.uk

Jane Summers Animal Communicator

~ Animal Communication ~

Booking Form  

Name of Animal ............................................................................

Animals Age: .................................................................................
Gender: ..........................................................................................
Species/Breed: .............................................................................
If spayed/neutered/entire: ............................................................
How long animal has lived with their person/did live with their person..................................................
4 or 5 Questions to be included in the communication session:
Please phrase questions as clearly as possible.  How a question is phrased can make all the difference to the response. When phrasing your questions, think of what you would personally most like to ask or to know about your animal companion; What would you most like to understand about their character. For example questions, please see main menu 'Example Que's' . If you would like help with setting these questions please contact me for suggested topics or further advice.

Question 1: ..................................................................................................................................................................
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Question 2: .................................................................................................................................................................
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Question 3: .................................................................................................................................................................
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Question 4: .................................................................................................................................................................
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Question 5: ................................................................................................................................................................
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Is the communication regarding a behavioural issue?    Yes........   No.........
If Yes: Optional ~ If you wish to give any further details, please only supply the briefest description in addition to the questions you have posed above. It is not essential that you complete this section.
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Your Name ............................................................................................................................................................
Address ..................................................................................................................................................................
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Email .......................................................................................................................................................................

Telephone .............................................................................................................................................................

I confirm the above named animal is my personal responsibility and I have requested an animal communication session. My payment of £65 (payable to Jane Summers) is enclosed / forwarded via Paypal /pre-paid via Gift Voucher- ref No:................ (please delete/complete as applicable).


Signed:....................................................................................Date:...............................

Please send to: 
Jane Summers Animal Communicator       E:summersjanieuk@aol.com
Paint Horse Cottage
23 High Road
Needham.
Norfolk.  
IP20 9LB

   Telephone 01379 855003  www.talktotheanimals.co.uk