Gift Intake Form
I am honored to provide a reading on your behalf.

Once you complete this form and remit Venmo payment (handle: lisa-rosman), the gift will be confirmed with you, then announced on the date you request.

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
$210 payment (required for gift confirmation)*
Venmo (handle: lisa-rosman; digits, if requested, are 4575)
Zelle (identifying email: lisarosman@gmail.com)
Would you like me to directly inform recipient of gift?*
Yes
No
Date, if any, to inform recipient of gift?
Gift readings are neither refunded nor transferred; recipients must be 18 or older. Please confirm your acceptance of these policies. 🙏*
Check the box if true
Additional notes