No Credit Card?

Print this form, fill in your personal information, and send it with a Money Order, in US funds only, to the address below. You will be contacted when your payment is received.

To pay by M.O.

Make M.O. payable to: Vickie Gay

Mail to:

Vickie Gay

4790 Caughlin Pkwy 178

Reno, Nevada 89509

Your Name: ________________________________________

Appointment phone number ___________________________

Reading phone number (if different from the number to call for your appointment)

Area Code_______ Phone Number ___________________:

Best Day For Your Reading, Please circle one.

        Tuesday        Wednesday      Thursday

Best time for your Reading, Please circle one.

                   AM               PM

45 minutes $150 .................................$ ___________

63 minutes $200.................................    ___________

CD of your reading on it $18.............        ___________

CD INSTRUCTIONAL $18

     'Connecting With The Other Side"      ___________

                TOTAL............................ ..$ ___________

YOUR E-MAIL ADDRESS: _____________________________

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Vickie Gay - Psychic Medium

    Connects with the other side