Request for a reading by KRIS FONTAINE

Please complete this form and email to kris@krisfontaine.com.au (*if unable to email form automatically copy and paste completed form into body of email or send as attachment with email) or fax it to (02) 9571 5832 or post it to P.O. Box 948, Glebe, NSW, 2037, Australia.

Your reading will be emailed to you within the next 3-4 weeks or a time for a phone reading will be emailed.

I prefer my reading by : email ___ Phone ___ Fax ___ Post ___(please tick)
*I am a That's Life! reader (special email reading) _____(please tick)

Name: ________________________________________________ Male / Female

Address: ______________________________________________

Tel. No.: ______________________________________________

Fax No.: ______________________________________________

Email Address: _________________________________________

Date Of Birth: (Day/Month/Year) _____/____/ 19_____ Time of Birth (if known) : _____ am/pm

Place of Birth: _______________________________ (town and country)

Partner's Date of Birth : _____/____/ 19_____ Time of Birth (if known) : _____________am/pm

Place of Birth: _______________________________ (town and country)

What are the specific questions you would like to have answered?

1._________________________________________________________________________

2._________________________________________________________________________

3._________________________________________________________________________

4.________________________________________________________________________

Please include the dates of birth of any persons involved in these questions.

Relationship to you : _______________________________

Please provide your Visa / Mastercard details (please circle appropriate card):

Name on Card: _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _

Card Number: _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _ expiry date _ _ _ _ _ _ _ _

Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ date _ _ _ __ _ _ __ _ _ _

A reading by Kris costs $80 - by filling the credit card details in you will give permission for Kris to
charge $80 to your credit card for your reading.

Kris Fontaine uses the tools of Astrology, Tarot, Clairvoyancy and Light Energy in her readings. She interprets the reading through her perception - she in no way professes to play God, nor to influence
you to take her perception as gospel, nor to take the reins out of your hands. The reading is not about prediction, but is to guide, assist and support you in making your own choices.