Your Inner Child
True
Readings
Questionnaire
Full Birth
Name:
Birth Time:
Birth Date:
Birth
Hospital
:
Birth
Town
:
Birth
State
:
The first numbers you think of:
This reading will be about your inner child and includes your birth chart and
numerology readings.
Please
fill out each question the best you can:
Mail them to me:
Rev. Roseann Joy Mason
847 Peaceful Valley Rd.
North Creek
,
NY
12853
Your Name and Address:
Please
include a Check or money order for $ 50.00
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