Gift Intake Form

I am honored to provide a reading on your behalf.

Once you complete this form and remit payment, the gift will be confirmed with you, then announced on the date you request. Please note gift must be used within 12 months of announcement, and is neither transferrable nor refundable. As well, because discretion is vital to this work, once gift is announced, I will not discuss details of the session with anyone but recipient. This includes the booking of the session, so please be certain that your loved one is amenable to this form of guidance.

Thanks for your faith in this work. I look forward to tuning into your loved one. 💜

Your name (first and last)*

Recipient's name (first and last)*

Recipient's mobile #*

Recipient's email*

Recipient's birthday, if you know it

$255 payment (required for gift confirmation)*

Venmo (handle: lisa-rosman; digits, if requested, are 4575)

Zelle (identifying email: lisarosman@gmail.com)

Date, if any, to inform recipient of gift?

Please confirm your loved one is amenable to this guidance and open to booking sessions themselves. For discretion purposes, I will discuss session details only with them once gift is given.*

Check the box if true

Gift readings are neither refunded nor transferred, must be booked within 12 months, and recipients must be 18 or older. Please confirm acceptance of these policies. *

Check the box if true

Is there other information you'd like included in the gift announcement (additional gifters, etc)?

Additional notes