Form

APPOINTMENT REQUEST
First Name*
Last Name*
Home Phone Number*
Work Phone Number
Cell Phone Number*
Address
City
State*
Zip Code
Country*
E-mail*
Keeping in mind that Rebecca typically works Monday through Thursday from the hours of 10:00a to 4:00p Mountain Time, please let us know what day of the week and what time of day you would prefer:
What day of the week do you prefer (please check all that apply)?
Day(s)*

Monday Tuesday Wednesday Thursday
What time of day do you prefer (please check all that apply)?
Time(s)*

early morning (not available on the east coast) late morning early afternoon late afternoon (not available on the west coast)
For how long would you like to speak with Rebecca?
Length*

30 minutes ($275) 60 minutes ($500)
What time zone do you live in?
Time Zone*

Eastern Central Mountain Pacific Other (please specify)
Time Zone
The wait for a private reading is now close to three years. The submission of this form will hold your place in line for when scheduling resumes. You will be contacted by email or by phone to set up an appointment. Thank you in advance for your patience and understanding.
Private readings are currently being scheduled for 30 minutes at a rate of $275. You will have the option of booking a double appointment (60 minutes) for $500. Submitting a request today does not guarantee this pricing as it is subject to change at any time.
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