~~ Transformational Guidance Request Form ~~
When you select the "submit" button you will be taken to the PayPal checkout page to make payment.
Filter Type:
Your Name:
Your Time Zone
Your Email address:
Home Address
City
State
Zip Code
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Phone Number with area code
Choose Method For Session
 Phone  Skype  Yahoo Messenger
Type of Session You Want (i.e. - physical, emotional, past life healing)
What do you wish to receive from your session/sessions
If you would like to experience 2 modalities at the same appointment please list them here i.e. coaching & healing, oracle card reading & aura cleansing etc.)
Questions or any additional information
You may attach your list of things you would like help with healing - please put your name and email address on your list

DISCLAIMER

Information provided by interpretations or intuitive impressions are not guaranteed as accurate. You have freely chosen these services and take full responsibility for your choices.  Your interpretation of the content of sessions, emails, or websites are your responsibility.  By requesting service or using this site, you agree to hold harmless Suzi Dalling, ConnectInHarmony.com and any other department of her business from all legal claims (libel, defamation, breach of privacy, intellectual property, or otherwise), and from all liabilities and expenses, including any legal expense. Services are not intended to replace medical, legal, or other professional services.

Cancellations:

 

As a courtesy to my schedule and to other clients requesting appointments:

1.     To cancel your appointment, please email me at suzi@connectinharmony.com or call 805-512-1720 begin_of_the_skype_highlighting              805-512-1720      end_of_the_skype_highlighting and leave me a voice mail 24 hours before your scheduled appointment.  A non refundable $ 50.00 minimum handling fee will be charged for all cancellations.

2.     If a cancellation email or phone call is not received 24 hours prior to your scheduled appointment, you will be charged the full amount of the session fee.

           

Payment in full must be received with Request Form or the request form will be deleted. 

 

Sessions are scheduled in the order payment is received.  Payments received after my business hours are considered to be received on my next business day.  I reserve an appointment time exclusively for your session and will notify you by email with my availability.

 

Your electronic signature (Type your name): you have read my disclaimer, cancellation policy and you take full responsibility for your actions



Alternative modalities are not to be construed as a replacement for professional medical care, nutrition, or exercise.


Contact Information

Suzi Dalling
P. O. Box 2845
Ventura, CA 93002-2845
USA
Phone: 805-512-1720

Yahoo Messenger: connectinharmony

Skype: connect_in_harmony


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