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Psychic Verification of Experience Form

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Psychic Requirements and Pay info
Four Winds Psychics Pre- Application
W9 form
Psychic Contract
Psychic Verification of Experience Form
Phone Actress Contract
New IC Information System Specifications for ANE (ANGELIC EYE) Line.

verification
 EXPERIENCE FORM  ( please fax to: 775-459-5658)

Manager Heather Thrall


I, _________________________ acknowledge that I have experience as either a tarot
reader, astrologer, psychic or spiritual advisor.  I feel that I can give genuine accurate
readings to the public with confidence.

Experience and Psychic Abilities (please circle all that apply)

1.) Herbology
2.) Dream Interpretation
3.) Past Lives
4.) Lost Objects
5.) Spiritual Counseling
6.) Missing Persons
7.) Relationships
8.) Money/career
9.) Animal Readings
10) Angel Readings
11.) Bilingual ( list below)
12.) Basic Tarot
13.) Other - please describe

___________________________________________

___________________________________________

Name:___________________________________________________

Address:__________________________________________________

E~mail address:____________________________________________

Telephone:______________________ System Phone: _________________
                                                                           (Number you want extension applied to)