www.thelotusandthelight.com

Thank you for filling out this form! By answering these questions you give Uma and The Lotus and The Light Metaphysical Center permission to add you to their email list and contact you to schedule a discovery call. 

You can expect to hear from Uma within 24 hours by email to schedule your discovery call. Thank you! 

Question Title

* 1. What is your name? (First and Last) 

Question Title

* 2. What is your email and phone number?

Question Title

* 3. Please list any medical or mental conditions you have been diagnosed with

Question Title

* 4. Which service/program are you interested in with Uma?

Question Title

* 5. When are you ready to work with Uma? 

Question Title

* 6. Anything else you would like Uma to know prior to your complimentary discovery call? 

T