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Free Reading Offer by Gail Winters

My dearest wish:

My wish Money, Love, Family, Luck, Work, Vitality,

Other *

If other:

My Date of Birth:

Time of Birth(if known):

My Name:*

Civil status: Civil status Mr Mrs Miss *

First Name: *

Last Name: *

Home Address: *

Email Address: *

My Questions?

I have money problems: yes/no

If yes, I need: $

My biggest problem at the moment is:

My problem?

Money

Love

Family

Luck

Work

Vitality

Other *

If other:

Do you think you are victim of an evil Spell? yes/no

Do you have any problem with the person you live with? yes/no

Would you like to find true love? yes/no

Dear Gail, please keep the above information about me confidential. Donít divulge it to anyone. I confirm that I am over 18 years old. *

I would like to receive Gail's FREE Reading offers.

Please complete form and mail to

Gail Winters

9727 Mckinstry Rd.

Machias, N.Y. 14101