Name Input Form for the Purchase of a Soul Contract Summary Report

"*" indicates required fields

Filling In This Form

Please take the time to fill out this form with care and intention. You can save this form and complete it at a later time. Please choose 'Save and Continue Later' at the bottom of this form and you will be sent a URL link to go back to the form. Please note, the form is not submitted to us until it has been completed fully.

Contact Information

Current name of Report Purchaser*

This is required for contact and payment purposes only. It is NOT a name that will be analysed. This may be a different person to the one actually receiving the Report.

First Middle Last

Date of Birth of Purchaser*

Email address*

Enter Email Confirm Email

Mobile number*

Please include international dialling code. We will only telephone you if any questions arise about the form.

Landline number

Please include International dialling code.

Timezone or your current location in the world*

Birth Name Input

Please note the word "your" can be substituted with "recipient of the Report" if you are purchasing it for someone else. Please input your name as it appears on your Birth Certificate. Please note this service DOES NOT cover Current Names, Name Overlay Readings, Name Changes or Phonetic versions of non-English names. It provides a summary set of the interpretations for each of the aspects of your Soul Contract based upon the book Your Soul Contract Decoded as well as step by step guidelines for understanding your Report.

We must emphasise that CORRECT SPELLING IS CRITICAL in order to produce the correct Birth Name As Spelt chart.

If you are adopted please enter the name on your FIRST birth certificate issued at the time of birth. If you would like to know the meaning of your ADOPTION birth certificate name you will need to order a second report. Read together these will give you an overall summary picture of your life.

For any Russian names, please enter the English version.

What this Soul Contact Report DOES NOT DO:*

Due to the limitations on what an automated reading service can deliver at this lower, more accessible price point, as it is based upon the interpretations in the Your Soul Contract Decoded book, without live interactive input from you, this Soul Contract Report DOES NOT provide a personalised reading which takes you from where you are in your life right now and answers your specific questions related to the challenges you currently face. A live reading with a practitioner at a higher price point is required for that. Find out more at: https://centerforconsciousascension.net/scr_sessions/birth-reading/

I confirm I understand this

Name input of person receiving the Report*

Birth Certificate Name

Language(s) of words in the Name

Date of Birth (dd/mm/yyyy)

This may be a different person to the one who purchased the Report.

Who is the reading for?*

This is my birth certificate reading

This is for someone I know personally and they have consented for me to enter their Personal Data. I also take responsibility for respecting the privacy of this Personal Data.

Your relationship to this person e.g. husband, wife, cousin, father, friend, work colleague

Have you read the book Your Soul Contract Decoded?*

Yes

Is there any additional information you would like your practitioner to know?

Payment

Please Note...The box below is a QUANTITY BOX so please place '1' in the box to pay for 1 Summary Report only.

Summary Report *

Please enter '1' in the quantity box below

Price: £ 12.59

Total

Payment Method*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Submitting Your Form

Non-refundable fee*

Once you submit your form and payment, we will then manually generate your Soul Contract Reading Summary Report PDF and will email it back to you within 7 working days.

I understand that once I submit my form the fee is non-refundable.

Marketing

Would you like to join the Soul Contract Reader software Mailing List?*

By selecting Yes, you agree to receiving emails about when the Soul Contract Reader software, which is used to produce your Summary Report, is launched for public use so you can register and then generate further reports directly on it yourself.

Yes please

No thank-you

Would you like to join the Mailing List of the Center for Conscious Ascension?*

By selecting Yes, you agree to receive informative and helpful emails about trainings, webinars, free resources, products and special offers that may support you. You will only receive emails once or twice a month.

Yes please

No thank-you

How did you find out about Soul Contract Reports - click as many as required ?

please specify

If you have any problems please contact soulcontractreports@centerforconsciousascension.net

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