Request for Mini Healing, an Angel-Assisted Distant Healing for Someone Else

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Request for Mini Healing for Someone Else
This form is for those who are requesting a mini healing for someone else. If the person getting the healing seems open to it and if I am satisfied with the information you have given here, I will go ahead with the healing. If I sense any resistance at all, it will stop there. You will not get a report. Use your real names.
About you:
Your first name *
Your last name *
Your email *
About the other person:
His or her first name *
His or her last name *
City, town or township *
State, Province or district *
Country *
His or her date of birth *
Is this person female or male? *	Female Male
Please explain here why the other person is not making this request for his or herself.
Do you want Starry Night, Janet's free monthly newsletter?	Yes No I already get it!
Please enter the following security code in the next field. *

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