Request Intuitive Sessions
..........................................................................................

To Use Paypal for payment:
If you are using paypal, Choose the Purchase Session button here, if you are not using paypal, Fill out the information below and press submit at the bottom.
1 1⁄2 hours, by telephone $125
1 1⁄2 hours, in Office $125
3 Session Cluster $400
For Credit Card Payment:

Fill out the following information if you are not using paypal and press submit.

Name
1 1/2 hours, by telephone $125
Address
1 1/2 hours, in Office $125
City
3 Session Cluster $400
State
Zip
Phone: *
email: *

Visa Mastercard American Express
Exp. Date

Comments or Requests, Date or time requested:



Ilani Kopiecki • Stepping Stones Wellness Center • 803 Pine Street Sandpoint, Idaho 83864
ph 208.610.2005 • E-mail: info@ilanihealing.comwww.IlaniHealing.com
Website Design by Sandpoint Media Group, Inc.