You Deserve to be Clear logo You Deserve To Be Clear!
 

Before purchasing The Deep Transformative Clearing, please provide the following information for you as the primary contact person:

All reports will be sent to your address provided below:

Name
Street Address
City, State, Zip
Phone
Email
Please provide the following information for each person you wish to have cleared:
Name
Birthdate

Name
Birthdate

Name
Birthdate

Name
Birthdate

Name
Birthdate

Name
Birthdate



You Deserve To Be Clear

Reverend Helen French Black • P.O. Box 1673 • Fairfield, IA 52556 •641-472-2266
Copyright 2008–2009, Rev. Helen French Black, All rights reserved.

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because You deserve to be Clear, too!
641-472-2266