Please note: Fields marked with an asterisk (*) are required.

* Is the recipient aware of this request?

Yes  No

*Your Name:
Your phone or email: (for questions about the request)
*Recipient Name:
*Recipient's Location:
Brief description of the recipient:
Best time to send: (include timezone if different than EST)
* Reason for Request:

Subscription/Removal Form for Practitioners of 2nd Degree and Above

If you would like to participate in the healing circle, please select the "subscribe" link below. It will open your default e-mail program and supply an email address. Send a blank email to the default address to subscribe or unsubscribe from the list.

You will receive emails via that address when requests are submitted through this page. That is the only purpose for which your email address will be used.

Please note: By subscribing to this list, you are agreeing to utilize the information provided by requesters (i.e., name, email address, phone number, and personal information submitted via the request) strictly for the purposes of fulfilling their distance healing request.

Subscribe (healing-subscribe@reikiintuitive.com) Please note that subscribing to this list is moderated, and you may receive an email asking to validate your identity. This is to prevent spammers from using the mailing list. Thank you!

Unsubscribe (healing-unsubscribe@reikiintuitive.com)

If you are already a member of the list and would like to be removed, please select the "unsubscribe" link above and send an email from the email address you would like to remove to the email address indicated above. If you are subscribed via more than one address, you will need to unsubcribe from each individually.

As usual, please contact me with any questions or concerns.

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Contact the webmaster.	All content © Elaine Eriksen Rose, 2000+. All rights reserved.	October 11th, 2007 21:22 PDT