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* 1. Would you be interested in attending a psychic gifts retreat?

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* 2. Your First and Last Name

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* 3. Your Email address

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* 4. Would you prefer:

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* 5. Preferred weekend - feel free to

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* 6. What is your budget?

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* 7. If we're cutting budget, what would you be OK sacrificing?

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* 8. Is there anything else you want me to know? Feel free to email me (drkatynd@gmail.com) if your comment won't fit :)

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