Reiki Distance Healing

Confidential Healing Request Booking Form

Booking a Reiki Distance Healing session or block of sessions is easy.

I will always treat the information you provide in total confidence. I will never knowingly pass your details to any other organisation.

Your confidentiality, and that of anyone you book Reiki Distance Healing for, is assured at all times.

Your details

Please complete the following boxes with your details. Every week I will send you a short motivational and inspirational saying absolutely free of charge. This is my way of saying thank you for visiting my site and for subscribing to Reiki Distance Healing sessions. Remember your details are never passed on to any other organisation

Your First name:

Your Last name:

Your email address:

I need your e-mail address so that I can send you a confirmation of order. Once a week I shall also send you a short motivational and inspirational saying free of charge. Your details will be processed on my database. If you are happy for me to do this please check this box

Your location (town or city):

Country:

Thank you

Do you want Reiki Distance Healing to be sent to a person or persons?	Yes	No

Do you want Reiki Distance Healing to be sent to a pet or animal?	Yes	No

Do you want Reiki Distance Healing to be sent to an event?	Yes	No