Clairvoyancy Reading on Cassette or CD Order Form
$50 - 30 minutes (includes GST and Postage)
$80 - 60 minutes (includes GST and Postage)

Reading length:
[ ] 30 minutes
[ ] 60 minutes

Format:
[ ] Cassette tape
[ ] CD

Your age:

Your Questions (in order of importance)
1.

2.

3.

4.

5.

6.

Information required for mailing you the Cassette or CD:
Current Name:____________________________
Address:_________________________________ Post Code: _______
Phone Number:__________________________

Payment method:
[ ] Cheque/Money Order (Payable to Dr Peter Filis) (Print this page and mail to:

Dr Peter Filis
Northwood St, NEWTOWN NSW 2042
Mob: 0409 652 191

Credit Card Payments
[ ] Visa [ ] MasterCard [ ] Bankcard 

Name on Card:____________________________
Credit Card Number:__________________________
Card Expiry:___________________________

 

Signature: __________________________